| Field | Data |
|---|---|
| EIN | 39-1857006 |
| Case Number | EO-2018218-000238 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KAUKAUNA COMMUNITY HEALTH ASSOCIATES |
| Organization’s Mailing Address | PO BOX 534 |
| City | KAUKAUNA |
| State | WI |
| ZIP | 54130 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DONNA VANDENHEUVEL
PRESIDENT
517 WILLOW DRIVE
KAUKAUNA WI 54130
MELLISSA HANSEN
VICE PRESIDENT
524 MARGARET STREET
COMBINED LOCKS WI 54113
CARLENE ENAMA
SECRETARY
1016 APPLE BLOSSOM COURT
KAUKAUNA WI 54130
JULIE COENEN
TREASURER
1804 FIELDCREST DRIVE
KAUKAUNA WI 54130
JENNIFER JOHNSON
BOARD MEMBER AT LARGE
308 PHEASANT RUN
KAUKAUNA WI 54130
| Organization’s website | KCHA.WI.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/24/96 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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 | JENNIFER JOHNSON |
| Signature Title | BOARD MEMBER AT LARGE |
| Signature Date | 8/1/18 |
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