FORM 1023-EZ for WISCOSNIN LYME NETWORK
| Field | Data |
|---|---|
| EIN | 45-2939996 |
| Case Number | EO-2014276-000337 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WISCOSNIN LYME NETWORK |
| Organization’s Mailing Address | 2227 BROKEN HILL ROAD |
| City | WAUKESHA |
| State | WI |
| ZIP | 53188 |
| Accounting period End | 12 |
| Primary contact name | KRISTIN COLLINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KRISTIN COLLINS
PRESIDENT
2227 BROKEN HILL ROAD
WAUKESHA WI 53188
Officer/Director/Trustee Two
JENNIFER CHRISTIE
VICE PRESIDENT
500 WEST BRIAR LANE
GREEN BAY WI 54301
Officer/Director/Trustee Three
SHARON O NEILL
SECRETARY
5440 WEST STACK DRIVE
MILWAUKEE WI 53219
Officer/Director/Trustee Four
ANNA LAWTON
TREASURER
255 LAKERIDGE DRIVE
OCONOMOWOX WI 53066
Officer/Director/Trustee Five
LISA HILTON
WEBSITE DIRECTOR
315 NORTH 4TH STREET
PLATEVILLE WI 53818
| Organization’s website | WWW.WISCONSINLYME.NET |
|---|---|
| Organization’s email | WISCONSINLYMENETWORK@GAMIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/9/2011 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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