FORM 1023-EZ for CREMATION SOCIETY OF WISCONSIN FOUNDATION INC

Field Data
EIN 46-4115941
Case Number EO-2014293-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREMATION SOCIETY OF WISCONSIN FOUNDATION INC
Organization’s Mailing Address 535 S HILLCREST PARKWAY
City ALTOONA
State WI
ZIP 54720
Accounting period End 12
Primary contact name BETH KAYHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROLF NESTINGEN
BOARD PRESIDENT
2124 EASTRIDGE CENTER
EAU CLAIRE WI 54701

Officer/Director/Trustee Two

JAMES NORBY
BOARD VICE PRESIDENT
2115 E CLAIREMONT AVE
EAU CLAIRE WI 54701

Officer/Director/Trustee Three

MARIT WAACK
BOARD DIRECTOR
800 WISCONSIN STREET MB86
EAU CLAIRE WI 54703

Officer/Director/Trustee Four

REBECCA REINHARDT
BOARD DIRECTOR
W458 ALBANY NN
MONDOVI WI 54755

Officer/Director/Trustee Five

RANDALL MUNDT
BOARD DIRECTOR
535 S HILLCREST PARKWAY
ALTOONA WI 54720

Organization’s website WWW.CSWFOUNDATION.ORG
Organization’s email OFFICE@CREMATIONSOCIETY-WI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 Yes
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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