FORM 1023-EZ for ETTRICK COMMUNITY AUXILIARY INC

Field Data
EIN 83-1972913
Case Number EO-2019219-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETTRICK COMMUNITY AUXILIARY INC
Organization’s Mailing Address 22621 SOUTH MAIN STREET
City ETTRICK
State WI
ZIP 54627
Accounting period End 12
Primary contact name ELIZABETH OSBORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE ROMMEL
DIRECTOR
22621 SOUTH MAIN STREET
ETTRICK WI 54627

Officer/Director/Trustee Two

JEANENE BISHOP
DIRECTOR
N22247 WEST LANE
ETTRICK WI 54627

Officer/Director/Trustee Three

SANDRA ZIEGLER
DIRECTOR
W16984 DOPP RD
ETTRICK WI 54627

Officer/Director/Trustee Four

KONOR AUER
DIRECTOR
23130 N MAIN ST
ETTRICK WI 54627

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 NICOLE ROMMEL
Signature Title DIRECTOR
Signature Date 8/3/19

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