| Field | Data |
|---|---|
| EIN | 83-3052291 |
| Case Number | EO-2019042-000338 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EARTH STAR MEDICAL INITIATIVE INC |
| Organization’s Mailing Address | E8939 HUCKLBERRY RD |
| City | NEW LONDON |
| State | WI |
| ZIP | 54961-8930 |
| Accounting period End | 12 |
| Primary contact name | KATIE MEYER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KATIE MEYER
PRESIDENT
E8939 HUCKLBERRY RD
NEW LONDON WI 54961-8930
KATIE KILSDONK
TREASURER
1154 E NORTHWOOD DR
APPLETON WI 54911-1550
TRACY SCHUMACHER
SECRETARY
W6268 WISCONSIN AVE
GREENVILLE WI 54942-8606
KEVIN ELDRETH
VICE PRESIDENT
1553 E MOONBEAM TRAIL
APPLETON WI 54915-4482
ERIN STREETER
DIRECTOR
W621 OAK SHORE DR
FALL RIVER WI 53932-9772
| Organization’s website | |
|---|---|
| Organization’s email | EARTHSTARMEDICAL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/19/18 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | No |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | KATIE MEYER |
| Signature Title | PRESIDENT |
| Signature Date | 2/8/19 |
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