FORM 1023-EZ for SHIH TZU AND FRIENDS RESCUE OF WISCONSIN INC

Field Data
EIN 47-2931497
Case Number EO-2015049-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHIH TZU AND FRIENDS RESCUE OF WISCONSIN INC
Organization’s Mailing Address N7341 STATE ROAD 175
City THERESA
State WI
ZIP 53091
Accounting period End 12
Primary contact name LAURA CRAIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA VIDA
PRESIDENT
N7341 STATE ROAD 175
THERESA WI 53091

Officer/Director/Trustee Two

PATTI JENSEN
TREASURER
1428 95TH AVENUE
KENOSHA WI 53144

Officer/Director/Trustee Three

AMANDA MISCHKER
SECRETARY
W7403 HONOLD DRIVE
FOND DU LAC WI 54937

Organization’s website WWW.STFRW.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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