FORM 1023-EZ for DANE COUNTY VETERANS MENTORING PROGRAM INC

Field Data
EIN 47-3494411
Case Number EO-2015281-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANE COUNTY VETERANS MENTORING PROGRAM INC
Organization’s Mailing Address 215 SOUTH HAMILTON STREET
City MADISON
State WI
ZIP 53703
Accounting period End 12
Primary contact name WILLIAM MATTERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM MATTERT
REGISTERED AGENT
17 NORTH HAMILTON ST
MADISON WI 53703

Officer/Director/Trustee Two

ROBERT COOK
DIRECTOR
210 FOREST STREET
MADISON WI 53726

Officer/Director/Trustee Three

DAVID GAULT
DIRECTOR
210 MARTIN LUTHER KING JR BLVD
MADISON WI 53703

Officer/Director/Trustee Four

MARY KOLAR
DIRECTOR
125 NORTH HAMILTON STREET
MADISON WI 53703

Officer/Director/Trustee Five

DOUG ZWANK
DIRECTOR
1205 MUIRFIELD CT
MIDDLETON WI 53562

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
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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