FORM 1023-EZ for FOX VALLEY HERPETOLOGY CLUB

Field Data
EIN 52-2329258
Case Number EO-2019065-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOX VALLEY HERPETOLOGY CLUB
Organization’s Mailing Address 1121 FAY CT
City DE PERE
State WI
ZIP 54115
Accounting period End 2
Primary contact name JOSE ANGEL SAAVEDRA ESTRADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE ANGEL SAAVEDRA ESTRADA
LOGISTICS COORDINATOR
314 GREENE AVENUE
GREEN BAY WI 54301

Officer/Director/Trustee Two

DIANE MOENS
PRESIDENT
1121 FAY CT
DE PERE WI 54115

Officer/Director/Trustee Three

LONNIE MOENS
TREASURER
1121 FAY CT
DE PERE WI 54115

Organization’s website FVHC.COM
Organization’s email FOXVALLEYHERPETOLOGYCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSE ANGEL SAAVEDRA ESTRADA
Signature Title LOGISTICS COORDINATOR
Signature Date 3/4/19

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