FORM 1023-EZ for FRISTAD FOUNDATION INC

Field Data
EIN 39-1418314
Case Number EO-2017081-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRISTAD FOUNDATION INC
Organization’s Mailing Address 501 HWY 35
City CENTURIA
State WI
ZIP 54824
Accounting period End 12
Primary contact name JEFF LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF LARSON
PRESIDENT AND TREASURER
1349 STATE RD 46
BALSAM LAKE WI 54810

Officer/Director/Trustee Two

AL ARNDT
VICE PRESIDENT
301 BANK ST
MILLTOWN WI 54858

Officer/Director/Trustee Three

KIM BOEHME
SECRETARY
27155 CTY RD FF
WEBSTER WI 54893

Officer/Director/Trustee Four

BEV EDGELL
DIRECTOR
809 FIRST ST
CENTURIA WI 54824

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/1980
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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