FORM 1023-EZ for STOUGHTON YOGA INC

Field Data
EIN 81-2462056
Case Number EO-2019262-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STOUGHTON YOGA INC
Organization’s Mailing Address 123 EAST MAIN STREET
City STOUGHTON
State WI
ZIP 53589
Accounting period End 12
Primary contact name JOYCE BREHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE BREHM
PRESIDENT
858 COUNTY ROAD N
STOUGHTON WI 53589

Officer/Director/Trustee Two

TIM BAUTCH
VICE PRESIDENT
1021 PARK STREET
STOUGHTON WI 53589

Officer/Director/Trustee Three

BONNIE MEZGER
TREASURER
930 LINCOLN AVENUE
STOUGHTON WI 53589

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/16
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOYCE BREHM
Signature Title PRESIDENT
Signature Date 9/17/19
EIN 81-2462056
Case Number EO-2016321-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STOUGHTON YOGA INC
Organization’s Mailing Address 123 E MAIN ST
City STOUGHTON
State WI
ZIP 53589
Accounting period End 12
Primary contact name MARLENE WIDRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLENE WIDRA
CHIEF OPERATING OFFICER
524 LOWELL ST
STOUGHTON WI 53589

Officer/Director/Trustee Two

KATE MASON
BOARD TREASURER
1129 LINCOLN ROAD
OREGON WI 53575

Officer/Director/Trustee Three

JOYCE BREHM
BOARD CHAIR
858 COUNTY HIGHWAY N
STOUGHTON WI 53589

Officer/Director/Trustee Four

AMY KITTLESON
BOARD VICE CHAIR
109 E TAFT
STOUGHTON WI 53589

Officer/Director/Trustee Five

MARGARET PLOTKIN
BOARD SECRETARY
103 E MCKINLEY ST
STOUGHTON WI 53589

Organization’s website WWW.STOUGHTONYOGA.COM
Organization’s email STOUGHTONYOGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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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