FORM 1023-EZ for GREEN BAY CITY BANK INC

Field Data
EIN 81-2323130
Case Number EO-2017117-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREEN BAY CITY BANK INC
Organization’s Mailing Address 5011 FLORET CIRCLE
City NEW FRANKEN
State WI
ZIP 54229
Accounting period End 12
Primary contact name STEVEN DEVILLERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MARBES
CHAIRMAN
5011 FLORET CIRCLE
NEW FRANKEN WI 54229

Officer/Director/Trustee Two

GREGORY SAUVE
CONDUCTOR
5011 FLORET CIRCLE
NEW FRANKEN WI 54229

Officer/Director/Trustee Three

BARBARA VAN DE LAARSCHOT
SECRETARY
5011 FLORET CIRCLE
NEW FRANKEN WI 54229

Officer/Director/Trustee Four

STEVEN DEVILLERS
BUSINESS MANAGER
5011 FLORET CIRCLE
NEW FRANKEN WI 54229

Officer/Director/Trustee Five

MICHELLE ANDERSON
DIRECTOR
5011 FLORET CIRCLE
NEW FRANKEN WI 54229

Organization’s website N/A
Organization’s email SDEVILLERS@MUSICIMC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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