FORM 1023-EZ for AVERYS RACE TO CURE SMA UA
| Field | Data |
|---|---|
| EIN | 82-1122127 |
| Case Number | EO-2017111-000206 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AVERYS RACE TO CURE SMA UA |
| Organization’s Mailing Address | 752 SOUTH ADAMS STREET |
| City | LANCASTER |
| State | WI |
| ZIP | 53813 |
| Accounting period End | 12 |
| Primary contact name | KATY PITZEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KATY PITZEN
MANAGER
752 S ADAMS ST
LANCASTER WI 53813
Officer/Director/Trustee Two
KARRI SCHAUFF
MEMBER
5684 CHAFFIE HOLLOW RD
CASSVILLE WI 53806
Officer/Director/Trustee Three
LINDA HAHN
MEMBER
10844 MT RIDGE RD
LANCASTER WI 53813
Officer/Director/Trustee Four
FAITH FREYMILLER
MEMBER
870 JACKSON ST
FENNIMORE WI 53809
Officer/Director/Trustee Five
SARAH TURNBULL
MEMBER
1149 145TH ST
PELLA IA 50219-8032
| Organization’s website | AVERYSRACE.ORG |
|---|---|
| Organization’s email | AVERYSRACE@TDS.NET |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/5/2017 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G12 - Fund Raising and/or Fund Distribution |
| 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 | 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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