FORM 1023-EZ for FRIENDS OF THE ROCHESTER PUBLIC LIBRARY

Field Data
EIN 39-1920027
Case Number EO-2017132-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE ROCHESTER PUBLIC LIBRARY
Organization’s Mailing Address 208 W SPRING ST PO BOX 245
City ROCHESTER
State WI
ZIP 53167
Accounting period End 12
Primary contact name JANE SERDYNSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEVERLY JENSEN
PRESIDENT
400 W MAIN ST
ROCHESTER WI 53167

Officer/Director/Trustee Two

JILL HAUBRICH
VICE PRESIDENT
33343 ACADEMY RD
BURLINGTON WI 53105

Officer/Director/Trustee Three

LISSA JENSEN
SECRETARY
405 A SOUTH STATE ST
ROCHESTER WI 53167

Officer/Director/Trustee Four

JANE SERDYNSKI
TREASURER
29117 WASHINGTON AVE
BURLINGTON WI 53105

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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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