FORM 1023-EZ for COON CREEK AREA VETERANS MEMORIAL INC

Field Data
EIN 39-1971405
Case Number EO-2019249-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COON CREEK AREA VETERANS MEMORIAL INC
Organization’s Mailing Address 105 PARK STREET PO BOX 24
City COON VALLEY
State WI
ZIP 54623
Accounting period End 12
Primary contact name MELANIE ROLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES NELSON
CHAINMAN
E5402 NELSON LANE
COON VALLEY WI 54623

Officer/Director/Trustee Two

RODNEY OFTE
VICE CHAIRMAN
E5702 SPRING COULEE ROAD
COON VALLEY WI 54623

Officer/Director/Trustee Three

MELANIE ROLE
SECRETARY-TREASURER
402 LIEN STREET PO BOX 24
COON VALLEY WI 54623-24

Officer/Director/Trustee Four

RONALD HOFF
MEMBER
S1570A COUNTY RD B
COON VALLEY WI 54623

Officer/Director/Trustee Five

LEE NERISON
MEMBER
E5985 HELGESON RD
WESTBY WI 54667

Organization’s website
Organization’s email DONMELR@MCHSI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/99
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELANIE ROLE
Signature Title SECRETARY-TREASURER
Signature Date 9/4/19

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