FORM 1023-EZ for PARENTS ADVOCATING SCHOOL SAFETY INC

Field Data
EIN 82-4816586
Case Number EO-2018106-001142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARENTS ADVOCATING SCHOOL SAFETY INC
Organization’s Mailing Address 208 E 2ND STREET SUITE F
City KAUKAUNA
State WI
ZIP 54130
Accounting period End 12
Primary contact name KATHRYN BLOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON WHEELOCK
PRESIDENT AND DIRECTOR
208 E 2ND STREET SUITE F
KAUKAUNA WI 54130

Officer/Director/Trustee Two

CINDY WENDZICKI
VICE PRESIDENT AND DIRECTOR
208 E 2ND STREET SUITE F
KAUKAUNA WI 54130

Officer/Director/Trustee Three

KARLA VERBONCOUER
VICE PRESIDENT AND DIRECTOR
208 E 2ND STREET SUITE F
KAUKAUNA WI 54130

Officer/Director/Trustee Four

JULIE WHEELOCK
SECRETARY AND DIRECTOR
208 E 2ND STREET SUITE F
KAUKAUNA WI 54130

Officer/Director/Trustee Five

KATHRYN BLOM
DIRECTOR
208 E 2ND STREET SUITE F
KAUKAUNA WI 54130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W90 - Consumer Protection, Safety
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 KATHRYN BLOM
Signature Title DIRECTOR
Signature Date 4/13/18

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