FORM 1023-EZ for SOUTHEAST WISCONSIN GRIEF NETWORK

Field Data
EIN 47-5549229
Case Number EO-2016365-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHEAST WISCONSIN GRIEF NETWORK
Organization’s Mailing Address 1219 WOODVIEW DRIVE
City WAUKESHA
State WI
ZIP 53189
Accounting period End 12
Primary contact name NICHOLE SCHWERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLE SCHWERMAN
CHAIR
1219 WOODVIEW DRIVE
WAUKESHA WI 52189

Officer/Director/Trustee Two

SANDY WOLF
CO-CHAIR
2525 SOUTH SHORE DRIVE 19B
MILWAUKEE WI 53207

Officer/Director/Trustee Three

MELISSA MINKLEY
TREASURER
N72W39484 LANG ROAD
OCONOMOWOC WI 53066

Organization’s website WWW.SEWGN.COM
Organization’s email NSCHWERMAN@CHW.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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