FORM 1023-EZ for CHILDRENS HEALTH ADVOCACY INTERNATIONAL LLC

Field Data
EIN 83-1541146
Case Number EO-2018227-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHILDRENS HEALTH ADVOCACY INTERNATIONAL LLC
Organization’s Mailing Address 1400 OAK STREET
City BARABOO
State WI
ZIP 53913
Accounting period End 12
Primary contact name ANGELA ZOLPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA ZOLPER
OWNER
1400 OAK ST
BARABOO WI 53913

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 ANGELA ZOLPER
Signature Title OWNER
Signature Date 8/13/18

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