FORM 1023-EZ for CRANDON AREA COMMUNITY FOUNDATION

Field Data
EIN 84-3533304
Case Number EO-2020010-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRANDON AREA COMMUNITY FOUNDATION
Organization’s Mailing Address 6174 STATEZNY LANE
City CRANDON
State WI
ZIP 54520
Accounting period End 12
Primary contact name MICHELLE GOBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENZIE CARLSON
PRESIDENT
6174
CRANDON WI 54520

Officer/Director/Trustee Two

BRIAN SCHULTZ
VICE-PRESIDENT / TREASURER
1240 RISSER ROAD
CRANDON WI 54520

Officer/Director/Trustee Three

MICHELLE GOBERT
SECRETARY
5030 APPLEVIEW LANE
CRANDON WI 54520

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2019
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 MICHELLE GOBERT
Signature Title SECRETARY
Signature Date 1/8/2020

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