FORM 1023-EZ for CHURCH WOMEN UNITED IN OUTAGAMIE COUNTY

Field Data
EIN 39-1152474
Case Number EO-2017229-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHURCH WOMEN UNITED IN OUTAGAMIE COUNTY
Organization’s Mailing Address 2525 ERIC DRIVE
City APPLETON
State WI
ZIP 54915
Accounting period End 12
Primary contact name JAYNE L HEINRICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAYNE HEINRICH
PRESIDENT
2525 S ERIC DR
APPLETON WI 54915

Officer/Director/Trustee Two

MARILYN VERKUILEN
VICE-PRESIDENT
W2088 EVERGREEN DRIVE
KAUKAUNA WI 54130

Officer/Director/Trustee Three

TRISH BREHM
SECRETARY
716 FIDELIS STREET
APPLETON WI 54915

Officer/Director/Trustee Four

MARLENE KOOLS
ECUMENICAL CELEBRATIONS CO CHAIRMAN
1515 LEHMAN LANE
APPLETON WI 54914

Officer/Director/Trustee Five

HAZEL CHRISTOPHER
CHURCH REPRESENTATIVE
317 PARKVIEW LANE
KIMBERLY WI 54136

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/1972
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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