FORM 1023-EZ for JACKSON COUNTY CHILD CARE NETWORK INC

Field Data
EIN 85-2396464
Case Number EO-2021123-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON COUNTY CHILD CARE NETWORK INC
Organization’s Mailing Address 100 E MAIN STREET
City BLACK RIVER FALLS
State WI
ZIP 54615
Accounting period End 12
Primary contact name MARIANNE TORKELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIANNE TORKELSON
PRESIDENT
100 E MAIN STREET
BLACK RIVER FALLS WI 54615

Officer/Director/Trustee Two

KRISTIN ELVAKER
VICE PRESIDENT
725 N 8TH STREET
BLACK RIVER FALLS WI 54615

Officer/Director/Trustee Three

ELAINE FATLA
SECRETARY
W12465 STATE ROAD 95
ALMA CENTER WI 54611

Officer/Director/Trustee Four

JILL COLLINS
TREASURER
301 N 4TH STREET
BLACK RIVER FALLS WI 54615

Officer/Director/Trustee Five

ROB STAPLE
DIRECTOR
711 W ADAMS STREET
BLACK RIVER FALLS WI 54615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
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 JILL COLLINS
Signature Title TREASURER
Signature Date 4/29/2021

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