FORM 1023-EZ for MHO INC

Field Data
EIN 84-2402984
Case Number EO-2019203-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MHO INC
Organization’s Mailing Address 380 MAIN STREET
City DEPERE
State WI
ZIP 54115
Accounting period End 12
Primary contact name DEREK R SCHANHOFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK SCHANHOFER
DIRECTOR
810 WOODLAWN CT
LUXEMBURG WI 54217

Officer/Director/Trustee Two

MELISSA HEFFERNAN
DIRECTOR
2158 W MELOME CIR
DE PERE WI 54115

Officer/Director/Trustee Three

JIM GILLIGAN
DIRECTOR
400 N WELLS STREET SUITE 212
CHICAGO IL 60654

Officer/Director/Trustee Four

KEVIN BARANCZYK
DIRECTOR
415 WHISPERING CREEK
GREEN BAY WI 54303

Officer/Director/Trustee Five

JEFF LECAPTAIN
DIRECTOR
525 E BRIAR LANE
GREEN BAY WI 54301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 DEREK SCHANHOFER
Signature Title DIRECTOR
Signature Date 7/18/19

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