FORM 1023-EZ for BAY AREA LIFE CENTER

Field Data
EIN 39-1686933
Case Number EO-2016127-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAY AREA LIFE CENTER
Organization’s Mailing Address 430 S WEBSTER AVE
City GREEN BAY
State WI
ZIP 54301-3923
Accounting period End 12
Primary contact name DARREN MCDOUGAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL HENNING
BOARD CHAIRMAN
111 O BRIEN
GREEN BAY WI 54303

Officer/Director/Trustee Two

DARREN MCDOUGAL
TREASURER
2002 FALCON RIDGE TRAIL
GREEN BAY WI 54313

Officer/Director/Trustee Three

MATT EMMER
SECRETARY
870 PINE HILL DR
HOBART WI 54155

Officer/Director/Trustee Four

ROD HASKINS
OFFICER
448 N MICHIGAN ST
DE PERE WI 54115

Officer/Director/Trustee Five

JUDY GILSON
DIRECTOR
4357 KELLNER RD
GREEN BAY WI 54311

Organization’s website HTTP://WWW.BAYAREALIFECENTER.ORG/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/1990
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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
Signature Title
Signature Date

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