FORM 1023-EZ for JUDO-JUJITSU MADISON INC

Field Data
EIN 84-1845138
Case Number EO-2019197-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUDO-JUJITSU MADISON INC
Organization’s Mailing Address 6917 ODANA ROAD UNIT 10
City MADISON
State WI
ZIP 53719
Accounting period End 12
Primary contact name OSMIL MILLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OSMIL MILLAN
DIRECTOR
8402 ELDERBERRY ROAD
MADISON WI 53717

Officer/Director/Trustee Two

DAVID BAUMGART
TREASURER
N6686 TIPPECANOE TRAIL
ELKHORN WI 53121

Officer/Director/Trustee Three

ADAM TIERNEY
PRESIDENT
5912 SCHUMANN DRIVE
FITCHBURG WI 53711

Officer/Director/Trustee Four

ERIC STRAADVALDSEN
SECRETARY VP EXTERIOR
610 SPRUCE STREET
MADISON WI 53715

Officer/Director/Trustee Five

IRENE WANG
VP INTERIOR 1ST
3903 PIONEER ROAD
VERONA WI 53593

Organization’s website HTTPS://WWW.JUDOJUJITSUMADISON.COM/
Organization’s email OSHACHIDAN@TDS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 OSMIL MILLAN
Signature Title DIRECTOR
Signature Date 7/12/19

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