FORM 1023-EZ for DEMENTIA FRIENDLY COMMUNITY INITIATIVE INC
| Field | Data |
|---|---|
| EIN | 84-1733156 |
| Case Number | EO-2019149-000068 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DEMENTIA FRIENDLY COMMUNITY INITIATIVE INC |
| Organization’s Mailing Address | 1527 MEADOW LANE |
| City | ELKHORN |
| State | WI |
| ZIP | 53121-4380 |
| Accounting period End | 12 |
| Primary contact name | ERIC RUSSOW |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BERNADETTE RUSSOW
PRESIDENT
1527 MEADOW LANE
ELKHORN WI 53121-4380
Officer/Director/Trustee Two
ERIC RUSSOW
SECRETARY TREASURER
1527 MEADOW LANE
ELKHORN WI 53121-4380
Officer/Director/Trustee Three
ANDREW KERWIN
DIRECTOR
1616 EVERGREEN LANE
LAKE GENEVA WI 53147
Officer/Director/Trustee Five
ERIC RUSSOW
SECRETARY TREASURER
1527 MEADOW LANE
ELKHORN WI 53121
| Organization’s website | |
|---|---|
| Organization’s email | DFCWALWORTH@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/10/19 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B01 - Alliance/Advocacy Organizations |
| 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 | ERIC RUSSOW |
| Signature Title | SECRETARY TREASURER |
| Signature Date | 5/23/19 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
