FORM 1023-EZ for CHANGING WINDS EQUINE THERAPY INC

Field Data
EIN 46-4437005
Case Number EO-2015197-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANGING WINDS EQUINE THERAPY INC
Organization’s Mailing Address N1985 COUNTY ROAD T
City WITHEE
State WI
ZIP 54498-9316
Accounting period End 3
Primary contact name CHRISTINA JASMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINA JASMER
PRESIDENT/DIRECTOR
N1985 COUNTY ROAD T
WITHEE WI 54498-9316

Officer/Director/Trustee Two

HOLLY BURISEK
VICE-PRESIDENT/DIRECTOR
W4221 APPLE AVE
MEDFORD WI 54451-9216

Officer/Director/Trustee Three

THERESA HENNING
TREASURER
PO BOX 16
LUBLIN WI 54447-0016

Officer/Director/Trustee Four

GAIL JASMER
SECRETARY/DIRECTOR
N2015 COUNTY ROAD T
WITHEE WI 54498-9372

Officer/Director/Trustee Five

PATRICIA ARCISZEWSKI
BOARD MEMBER
W8480 COUNTY ROAD N
THORP WI 54771-7812

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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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