FORM 1023-EZ for WINONA COUNTY PRIMARY PREVENTION PROJECT

Field Data
EIN 83-2389085
Case Number EO-2019093-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WINONA COUNTY PRIMARY PREVENTION PROJECT
Organization’s Mailing Address 243 VALLEY OAKS DRIVE
City WINONA
State MN
ZIP 55987
Accounting period End 12
Primary contact name HELEN BAGSHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HELEN BAGSHAW
PRESIDENT
243 VALLEY OAKS DRIVE
WINONA MN 55987

Officer/Director/Trustee Two

SHELLY MCCALLUM-FERGUSON
TREASURER
S3149 COUNTY ROAD M
FOUNTAIN CITY WI 54629-7401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
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 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 HELEN BAGSHAW
Signature Title PRESIDENT
Signature Date 4/1/19

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