FORM 1023-EZ for WOMENS INDIGENOUS MEDIA
| Field | Data |
|---|---|
| EIN | 81-4785372 |
| Case Number | EO-2018022-000224 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WOMENS INDIGENOUS MEDIA |
| Organization’s Mailing Address | N1235 REDWING DRIVE |
| City | GREENVILLE |
| State | WI |
| ZIP | 54942 |
| Accounting period End | 12 |
| Primary contact name | BROOKE JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BROOKE JOHNSON
PRESIDENT
N1235 REDWING DRIVE
GREENVILLE WI 54942
Officer/Director/Trustee Two
TEENA PUGLIESE
VICE PRESIDENT
PO BOX 562
BARSTOW CA 92312
Officer/Director/Trustee Three
WILLIAM BIRDSHEAD
PROGRAM OFFICER
3533 SUNFLOWER STREET
NORMAN OK 73072
Officer/Director/Trustee Four
RHIANNA LAKIN
SECRETARY
6145 CUMMINGS COURT
GLADSTONE OR 97027
Officer/Director/Trustee Five
SHERI BAKER
TREASURER
3224 PROMONTORY DRIVE
BISMARCK ND 58503
| Organization’s website | WWW.WOMENSINDIGENOUSMEDIA.COM |
|---|---|
| Organization’s email | WOMENSINDIGENOUSMEDIA@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/18 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BROOKE JOHNSON |
| Signature Title | PRESIDENT |
| Signature Date | 1/19/18 |
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