FORM 1023-EZ for ZACH SMOLA HUMBLE & KIND MEMORIAL
| Field | Data |
|---|---|
| EIN | 87-2203706 |
| Case Number | EO-2021231-000297 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ZACH SMOLA HUMBLE & KIND MEMORIAL |
| Organization’s Mailing Address | W9565 APPLE AVE |
| City | MEDFORD |
| State | WI |
| ZIP | 54451 |
| Accounting period End | 12 |
| Primary contact name | DARCIE WEISSMILLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BEN NELSON
PRESIDENT
134 N 2ND ST
MEDFORD WI 54451
Officer/Director/Trustee Two
MIKEL DELZER
VICE PRESIDENT
W2464 HWY 64
MEDFORD WI 54451
Officer/Director/Trustee Three
EMMALEE SEEFLUTH
SECRETARY
234607 SKILBERT AVE
DORCHESTER WI 54425
Officer/Director/Trustee Four
JUSTINE SOVA
TREASURER
W9565 APPLE AVE
MEDFORD WI 54451
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2021 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| Organization’s purpose | Charitable: Yes 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JUSTINE SOVA |
| Signature Title | TREASURER |
| Signature Date | 8/17/2021 |
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