FORM 1023-EZ for GROW MADISON INCORPORATED

Field Data
EIN 82-0905528
Case Number EO-2017083-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROW MADISON INCORPORATED
Organization’s Mailing Address 316 W WASHINGTON AVE SUITE 675
City MADISON
State WI
ZIP 53703
Accounting period End 12
Primary contact name MATT NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT NELSON
EXECUTIVE DIRECTOR
316 W WASHINGTON AVE SUITE 675
MADISON WI 53703

Officer/Director/Trustee Two

JOSH KLEMSON
DIRECTOR
316 W WASHINGTON AVE SUITE 675
MADISON WI 53703

Officer/Director/Trustee Three

CANDY PHELPS
DIRECTOR
316 W WASHINGTON AVE SUITE 675
MADISON WI 53703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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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