FORM 1023-EZ for 350 MADISON INC

Field Data
EIN 81-0817375
Case Number EO-2016246-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 350 MADISON INC
Organization’s Mailing Address PO BOX 2428
City MADISON
State WI
ZIP 53701-2428
Accounting period End 6
Primary contact name TONY GIBART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA DREWS
CO-COORDINATOR, DIRECTOR
1239 SPAIGHT ST
MADISON WI 53703-3748

Officer/Director/Trustee Two

PHYLLIS HASBROUCK
CO-COORDINATOR, DIRECTOR
3113 VIEW RD
MADISON WI 53711-5948

Officer/Director/Trustee Three

ANTHONY GIBART
TREASURER, DIRECTOR
4111 HEGG AVENUE
MADISON WI 53716-1605

Officer/Director/Trustee Four

BEN PETERSON PETERSON
SECRETARY, DIRECTOR
512 S BREARLY ST
MADISON WI 53703-4558

Officer/Director/Trustee Five

DONALD FERBER
DIRECTOR
4700 ALLIS AVE
MADISON WI 53716-2206

Organization’s website HTTP://350MADISON.ORG/
Organization’s email 350MADISON.WI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C20 - Pollution Abatement and Control Services
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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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