FORM 1023-EZ for DODGE COUNTY 4-H ENDOWMENT FUND

Field Data
EIN 38-3940665
Case Number EO-2015036-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DODGE COUNTY 4-H ENDOWMENT FUND
Organization’s Mailing Address 127 EAST OAK STREET
City JUNEAU
State WI
ZIP 53039
Accounting period End 6
Primary contact name HELEN WEISENSEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HELEN WEISENSEL
CHAIRPERSON
W8002 COUNTY ROAD W
BEAVER DAM WI 53916

Officer/Director/Trustee Two

IRIS STEFFEN
SECRETARY
N326 STEWART DRIVE
IXONIA WI 53036

Officer/Director/Trustee Three

KAREN SCHMIDT
TREASURER
109 EDGELAWN DRIVE
FOX LAKE WI 53933

Officer/Director/Trustee Four

ANNE OELKE
VICE CHAIRPERSON
W3090 GEM ROAD
MONTELLO WI 53949

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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