FORM 1023-EZ for SPINA BIFIDA ASSOCIATION OF THE GREATER FOX VALLEY IN WISCONSIN INC

Field Data
EIN 39-1617431
Case Number EO-2019322-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPINA BIFIDA ASSOCIATION OF THE GREATER FOX VALLEY IN WISCONSIN INC
Organization’s Mailing Address W9706 BONNIN RD
City NEW LONDON
State WI
ZIP 54961-7114
Accounting period End 12
Primary contact name BRENDA FISCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA FISCHER
TREASURER
W9706 BONNIN RD
NEW LONDON WI 54961-7114

Officer/Director/Trustee Two

KELLY RICHARD
PRESIDENT
325 N JOHN ST
KIMBERLY WI 54136

Officer/Director/Trustee Three

MARY JO HERMSEN
MEMBER
16 ADAMS WAY
LITTLE CHUTE WI 54140

Organization’s website
Organization’s email FUS1234@ATHENET.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/88
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BRENDA FISCHER
Signature Title TREASURER
Signature Date 11/14/19

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