FORM 1023-EZ for FRIENDS OF THE KEWAUNEE PIER HEAD LIGHTHOUSE

Field Data
EIN 81-3215168
Case Number EO-2016271-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE KEWAUNEE PIER HEAD LIGHTHOUSE
Organization’s Mailing Address 1021 JUNEAU ST
City KEWAUNEE
State WI
ZIP 54216-1127
Accounting period End 12
Primary contact name JAYNE CONARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAYNE CONARD
PRESIDENT
1021 JUNEAU ST
KEWAUNEE WI 54216-1127

Officer/Director/Trustee Two

EMILY PIERQUET
TREASURER
421 MILWAUKEE ST
KEWAUNEE WI 54216

Officer/Director/Trustee Three

ERIN TRAKEL
VICE PRESIDENT
811 LINCOLN ST
KEWAUNEE WI 54216

Organization’s website
Organization’s email JCONARD@ITOL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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