FORM 1023-EZ for WISCONSIN CHOW RESCUE

Field Data
EIN 82-2799318
Case Number EO-2017271-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WISCONSIN CHOW RESCUE
Organization’s Mailing Address 737 RIVERCREST DR
City BARABOO
State WI
ZIP 53913
Accounting period End 12
Primary contact name LISA CONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA CONE
PRESIDENT
737 RIVERCREST DR
BARABOO WI 53913

Officer/Director/Trustee Two

MIKE CONE
VICE PRESIDENT
737 RIVERCREST DR
BARABOO WI 53913

Officer/Director/Trustee Three

CYNDI MAGNUSSEN
DIRECTOR
W5466 CURTIS MILL RD
FORT ATKINSON WI 53538

Officer/Director/Trustee Four

BENJAMIN HUTCHINSON
DIRECTOR
5801 NE ORENCO GARDENS DR
HILLSBORO OR 97124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2017
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: No
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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