FORM 1023-EZ for HEALTH CARE THAT MATTERS

Field Data
EIN 47-3220076
Case Number EO-2015058-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH CARE THAT MATTERS
Organization’s Mailing Address 5104 VALLEY DRIVE
City MC FARLAND
State WI
ZIP 53558
Accounting period End 12
Primary contact name BARBARA ZABAWA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA ZABAWA
PRESIDENT
5104 VALLEY DRIVE
MC FARLAND WI 53558

Officer/Director/Trustee Two

BRANDEN ZIMMERMAN
VICE PRESIDENT
5104 VALLEY DRIVE
MC FARLAND WI 53558

Officer/Director/Trustee Three

MARYBETH HERBST-FLAGSTAD
SECRETARY
313 N 13TH STREET
MILWAUKEE WI 53233

Officer/Director/Trustee Four

CARRIE AIKEN
TREASURER
567 D ONOFRIO DRIVE SUITE 200
MADISON WI 53719

Organization’s website HTTP://HEALTHCARETHATMATTERS.ORG/
Organization’s email HEALTHCARETHATMATTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2014
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: 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
Signature Title
Signature Date

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