FORM 1023-EZ for WELLS4UGANDA INC

Field Data
EIN 85-1963807
Case Number EO-2020199-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLS4UGANDA INC
Organization’s Mailing Address 1721 BADGER STREET
City GREEN BAY
State WI
ZIP 54303-2621
Accounting period End 12
Primary contact name STEVEN I DUTCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN DUTCH
PRESIDENT AND DIRECTOR
1721 BADGER STREET
GREEN BAY WI 54303-2621

Officer/Director/Trustee Two

STEVEN DUTCH
VICE PRESIDENT AND DIRECTOR
1721 BADGER STREET
GREEN BAY WI 54303-2621

Officer/Director/Trustee Three

CHRISTOPHER DUTCH
SECRETARY; TREASURER; DIRECTOR
1014 HOWARD STREET
GREEN BAY WI 54303-1712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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 STEVEN DUTCH
Signature Title VICE PRESIDENT AND DIRECTOR
Signature Date 7/15/2020

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