FORM 1023-EZ for OTIS PROGENY INC

Field Data
EIN 47-4313143
Case Number EO-2016104-000038
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OTIS PROGENY INC
Organization’s Mailing Address 80775 MCCULLOCH RD
City WASHBURN
State WI
ZIP 54891
Accounting period End 12
Primary contact name THOMAS R YOST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS YOST
DIRECTOR
80775 MCCULLOCH RD
WASHBURN WI 54891

Officer/Director/Trustee Two

GARY HECIMOVICH
DIRECTOR
5507 PLEASANT VALLEY RIDGE RD
WEYERHAUSER WI 54895

Officer/Director/Trustee Three

GRANT HERMAN
DIRECTOR
N19410 HWY 13
BAYFIELD WI 54814

Officer/Director/Trustee Four

RONALD HOBART
DIRECTOR
PO BOX 9
HAYWARD WI 54843

Officer/Director/Trustee Five

THOMAS DRAUGHON
DIRECTOR
714 9TH AVE WEST
ASHLAND WI 54806

Organization’s website N/A
Organization’s email OTISPROGENY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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