FORM 1023-EZ for TWO LIVES ONE HEART FOUNDATION INC

Field Data
EIN 36-4691753
Case Number EO-2018212-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TWO LIVES ONE HEART FOUNDATION INC
Organization’s Mailing Address 11200 W CARROLL CIRCLE
City FRANKLIN
State WI
ZIP 53132-1128
Accounting period End 12
Primary contact name GERALD E BRANSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD BRANSKI
PRESIDENT AND DIRECTOR
11200 W CARROLL CIRCLE
FRANKLIN WI 53132-1128

Officer/Director/Trustee Two

DENISE BRANSKI
TREASURER AND DIRECTOR
11200 W CARROLL CIRCLE
FRANKLIN WI 53132-1128

Officer/Director/Trustee Three

DALE SLAASTED
SECRETARY AND DIRECTOR
1732 SHOOP STREET
RACINE WI 53404

Officer/Director/Trustee Four

DON HABERMEHL
VICE CHAIRMAN/VICE PRESIDENT
5136 WEST PLAINFIELD AVE
MILWAUKEE WI 53220

Officer/Director/Trustee Five

VICKI DOMINSKI
BOARD MEMBER
1914 E VAN BECK AVE
ST FRANCIS WI 53235

Organization’s website WWW.TWOLIVESONEHEART.COM
Organization’s email JERRYBRANSKI007@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/11
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GERALD BRANSKI
Signature Title PRESIDENT AND DIRECTOR
Signature Date 7/26/18

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