FORM 1023-EZ for SOCIETY OF ST VINCENT DE PAUL DISTRICT COUNCIL OF LACROSSE DIOCE

Field Data
EIN 47-4724976
Case Number EO-2017284-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOCIETY OF ST VINCENT DE PAUL DISTRICT COUNCIL OF LACROSSE DIOCE
Organization’s Mailing Address 169 N CENTRAL AVE
City MARSHFIELD
State WI
ZIP 54449
Accounting period End 9
Primary contact name KATHLEEN DIERICKX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS Y
PRESIDENT
M123 PENNY LN
MARSHFIELD WI 54449

Officer/Director/Trustee Two

BRENDA BAUER
VICE PRESIDENT
W893 CTY RD T
MONDOVI WI 54755

Officer/Director/Trustee Three

JOANNE GOSH
SECRETARY
321 2ND STREET
PITTSVILLE WI 54466

Officer/Director/Trustee Four

MARTIN MULLEN
TREASURER
1014 GILBERT ST
WAUSAU WI 54403

Officer/Director/Trustee Five

KATHY DIERICKX
EXECUTIVE DIRECTOR
1311 E 15TH STREET
MARSHFIELD WI 54449

Organization’s website
Organization’s email KATHY_SVDP@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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
Signature Title
Signature Date

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