FORM 1023-EZ for CHEESEHEAD FIBERSHED INC

Field Data
EIN 84-4930852
Case Number EO-2020133-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHEESEHEAD FIBERSHED INC
Organization’s Mailing Address W4350 WIRTH LANE
City MONTICELLO
State WI
ZIP 53590
Accounting period End 12
Primary contact name ALLISON MARKOSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDADEE DERRICKSON
PRESIDENT
W4350 WIRTH LANE
MONTICELLO WI 53590

Officer/Director/Trustee Two

MAVIN LISA GISS
VICE PRESIDENT
9039 COUNTY ROAD S
MT HOREB WI 53570

Officer/Director/Trustee Three

ALLISON MARKOSKI
VICE PRESIDENT
402 ROGERS ST
MADISON WI 53703

Officer/Director/Trustee Four

TRACEY SCHWALBE
SECRETARY & TREASURER
W6691 LEGLER VALLEY ROAD
NEW GLARUS WI 53574

Organization’s website CHEESEHEADFIBERSHED.ORG
Organization’s email CHEESEHEADFIBERSHED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
Organization’s purpose Charitable: Yes
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 No
Correctness Declaration Yes
Signature Name ALLISON MARKOSKI
Signature Title VICE PRESIDENT
Signature Date 5/10/2020

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