FORM 1023-EZ for AVERYS BLANKET OF LOVE MINISTRY INC

Field Data
EIN 81-4820351
Case Number EO-2017032-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AVERYS BLANKET OF LOVE MINISTRY INC
Organization’s Mailing Address 768 MAGNOR LAKE LANE
City CLAYTON
State WI
ZIP 54004
Accounting period End 12
Primary contact name DONNA BOLLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA BOLLES
PRESIDENT
768 MAGNOR LAKE LANE
CLAYTON WI 54004-2907

Officer/Director/Trustee Two

THOMAS BOLLES
VICE PRESIDENT/TREASURER
768 MAGNOR LAKE LANE
CLAYTON WI 54004-2907

Officer/Director/Trustee Three

MAUREEN RYAN
SECRETARY
816 WOODLAND DRIVE
NEW RICHMOND WI 54017-2228

Officer/Director/Trustee Four

JULIE LANDT
DIRECTOR
1138 PENINSULA ROAD
NEW RICHMOND WI 54017-6585

Officer/Director/Trustee Five

JENNIFER EVANS
DIRECTOR
1216 WREN PLACE
NEW RICHMOND WI 54017-2584

Organization’s website
Organization’s email NEWGRAN@NWCOMM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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