FORM 1023-EZ for NORTHWESTERN WISCONSIN VETERINARY MEDICAL ASSOCIATION

Field Data
EIN 47-4858795
Case Number EO-2015261-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWESTERN WISCONSIN VETERINARY MEDICAL ASSOCIATION
Organization’s Mailing Address N8416 1090TH ST
City RIVER FALLS
State WI
ZIP 54022-4745
Accounting period End 12
Primary contact name LAURENCE BAUMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN LANDORF
PRESIDENT
4616 COMMERCE VALLEY RD
EAU CLAIRE WI 54701

Officer/Director/Trustee Two

HELENE KEILY
PRESIDENT-ELECT
1686 13 1/2 AVE
BARRON WI 54812

Officer/Director/Trustee Three

LAURENCE BAUMANN
SECRETARY-TREASURER
N8416 190TH ST
RIVER FALLS WI 54022

Officer/Director/Trustee Four

EB BALLINGER
DIRECTOR
PO BOX 606
CORNELL WI 54732

Officer/Director/Trustee Five

VICKI SOKOLOWSKI
DIRECTOR
W8638 US HIGHWAY 8
LADYSMITH WI 54848

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/1994
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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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