FORM 1023-EZ for WISCONSIN UNITARIAN UNIVERSALIST STATE ACTION NETWORK INC

Field Data
EIN 84-4365445
Case Number EO-2020099-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN UNITARIAN UNIVERSALIST STATE ACTION NETWORK INC
Organization’s Mailing Address 10811 BIRCHWOOD DR
City SISTER BAY
State WI
ZIP 54234
Accounting period End 12
Primary contact name JIM BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES BLACK
PRESIDENT
10811 BIRCHWOOD DR
SISTER BAY WI 54234

Officer/Director/Trustee Two

JAMES COAKLEY
VICE-PRESIDENT
1024 W FOURTH ST
APPLETON WI 54914

Officer/Director/Trustee Three

MOLLY PLUNKET
SECRETARY/TREASURER
5749 BITTERSWEET PL
MADISON WI 53705

Officer/Director/Trustee Four

PENNY ROBINSON
AT-LARGE
1608 S WEIMAR ST
APPLETON WI 54915

Officer/Director/Trustee Five

KATHY BERNHART
AT-LARGE
3010 FLEETWAY CT
MANITOWOC WI 54220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2018
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
Organization’s purpose Charitable: No
Religious: Yes
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 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 JAMES BLACK
Signature Title PRESIDENT
Signature Date 4/6/2020

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