FORM 1023-EZ for JAKE PEGLOW LEGACY LIMITED

Field Data
EIN 83-2819103
Case Number EO-2019029-000711
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAKE PEGLOW LEGACY LIMITED
Organization’s Mailing Address 1501 PLOVER STREET
City STEVENS POINT
State WI
ZIP 54481
Accounting period End 12
Primary contact name JENNIFER R PEGLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER PEGLOW
PRESIDENT & DIRECTOR
E1285 RADLEY ROAD
WAUPACA WI 54981

Officer/Director/Trustee Two

JAMES PEGLOW
SECRETARY/TREASURER & DIRECTOR
E1285 RADLEY ROAD
WAUPACA WI 54981

Officer/Director/Trustee Three

PENNEY FRANK
DIRECTOR
E2705 CHRISTMAS TREE LANE
WAUPACA WI 54981

Officer/Director/Trustee Four

PETER ANDERSON
DIRECTOR
6757 SUNSET TRAIL
WINNECONNE WI 54986

Officer/Director/Trustee Five

JOSHUA PEGLOW
DIRECTOR
E1285 RADLEY ROAD
WAUPACA WI 54981

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 No
Donation of funds Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES PEGLOW
Signature Title SECRETARY/TREASURER & DIRECTOR
Signature Date 12/21/18

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