FORM 1023-EZ for WISCONSIN INFUSION NURSING CHAPTER INC

Field Data
EIN 82-1015631
Case Number EO-2017093-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WISCONSIN INFUSION NURSING CHAPTER INC
Organization’s Mailing Address 1365 MAPLE COURT
City PORT WASHINGTON
State WI
ZIP 53074
Accounting period End 12
Primary contact name JULIE DELISLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE DELISLE
PRESIDENT
1365 MAPLE COURT
PORT WASHINGTON WI 53074

Officer/Director/Trustee Two

TRISHA CAMPBELL
SECRETARY
W197N17030 STONEWALL DRIVE
JACKSON WI 53037

Officer/Director/Trustee Three

ANNETTE KOTTKE
TREASURER
969 MARTIN AVENUE
FOND DU LAC WI 54935

Organization’s website
Organization’s email SWINS2017@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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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