FORM 1023-EZ for MEQUON THIENSVILLE OPTIMIST CLUB INC

Field Data
EIN 51-0192306
Case Number EO-2015023-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEQUON THIENSVILLE OPTIMIST CLUB INC
Organization’s Mailing Address PO BOX 201
City THIENSVILLE
State WI
ZIP 53092
Accounting period End 9
Primary contact name THOMAS FRANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER ABRAHAM
PRESIDENT
211 RIVER VIEW
THIENSVILLE WI 53092

Officer/Director/Trustee Two

THOMAS FRANK
TREASURER
11930 N RIVER RD
MEQUON WI 53092

Officer/Director/Trustee Three

KAY FREYER
SECRETARY
W68N153 EVERGREEN
CEDARBURG WI 53012

Organization’s website MTOPTIMIST.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/1976
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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