FORM 1023-EZ for GRAY MUZZLE ORGANIZATION OF NE WISCONSIN INC

Field Data
EIN 83-2820901
Case Number EO-2019028-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAY MUZZLE ORGANIZATION OF NE WISCONSIN INC
Organization’s Mailing Address 3509 N MASON STREET
City APPLETON
State WI
ZIP 54914
Accounting period End 12
Primary contact name DEBBY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBY LEWIS
PRESIDENT
3509 N MASON STREET
APPLETON WI 54914

Officer/Director/Trustee Two

CAROL VALK
VP TREASURER
201 E MORNING GLORY DRIVE
APPLETON WI 54913

Officer/Director/Trustee Three

LAURA SHINKAN
SECRETARY
N1141 CHURCHILL ROAD
GREENVILLE WI 54942

Officer/Director/Trustee Four

SHERRY AHLMAN
BOARD MEMBER
618 W RIVER ROAD
APPLETON WI 54915

Officer/Director/Trustee Five

DENISE BONNESON
BOARD MEMBER
6 APPLE CREEK COURT
APPLETON WI 54913

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - 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 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 LAURA SHINKAN
Signature Title SECRETARY
Signature Date 12/13/18

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