FORM 1023-EZ for SALELYTICS CARES INC

Field Data
EIN 85-0601142
Case Number EO-2020099-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALELYTICS CARES INC
Organization’s Mailing Address 1111 EAST SOUTH RIVER STREET
City APPLETON
State WI
ZIP 54915
Accounting period End 12
Primary contact name JACK ENGLUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT KRUEGER
PRESIDENT
1111 E SOUTH RIVER STREET
APPLETON WI 54915

Officer/Director/Trustee Two

MATTHEW GARGO
VICE-CHAIRMAN
1111 EAST SOUTH RIVER STREET
APPLETON WI 54915

Officer/Director/Trustee Three

NICOLE THOR
SECRETARY
1111 EAST SOUTH RIVER STREET
APPLETON WI 54915

Officer/Director/Trustee Four

RUSS MANCINO
TREASURER
11808 MIRACLE HILLS DRIVE
OMAHA NE 68154

Officer/Director/Trustee Five

ALLISON GAGNON
BOARD MEMBER
11808 MIRACLE HILLS DRIVE
OMAHA NE 68154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 ALLISON GAGNON
Signature Title BOARD MEMBER
Signature Date 4/6/2020

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