FORM 1023-EZ for WISCONSIN MICROBOARD ASSOCIATION

Field Data
EIN 45-4773466
Case Number EO-2016153-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WISCONSIN MICROBOARD ASSOCIATION
Organization’s Mailing Address 611 10TH ST WEST
City ALTOONA
State WI
ZIP 54770
Accounting period End 12
Primary contact name DEANNA YOST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUTH ADIX
TREASURER
611 10TH ST WEST
ALTOONA WI 54770

Officer/Director/Trustee Two

DEANNA YOST
SECRETARY
80775 MCCULLOCH RD
WASHBURN WI 54891

Officer/Director/Trustee Three

CINDY KERNAN
PRESIDENT
584 ACADEMY
EDGERTON WI 54720

Officer/Director/Trustee Four

KAREN SINZ
BOARD MEMBER
N156 STATE RD 25
EAU GALLE WI 54737-9518

Organization’s website WISCONSINMICROBOARDS.COM
Organization’s email DLYOST@CENTURYTEL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2010
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P02 - Management & Technical Assistance
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
Signature Title
Signature Date

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