FORM 1023-EZ for THEO THE GREAT FOUNDATION INC

Field Data
EIN 83-4075679
Case Number EO-2019220-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THEO THE GREAT FOUNDATION INC
Organization’s Mailing Address 1153 WINGED FOOT DRIVE
City TWIN LAKES
State WI
ZIP 53181
Accounting period End 4
Primary contact name CHARLES W MATHISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES MATHISON
PRESIDENT
930 BURRIDGE COURT
LIBERTYVILLE IL 60048

Officer/Director/Trustee Two

JESSICA JOHNSON
SECRETARY
1153 WINGED FOOT DRIVE
TWIN LAKES WI 53181

Officer/Director/Trustee Three

SHANE JOHNSON
ASSISTANT SECRETARY
1153 WINGED FOOT DRIVE
TWIN LAKES WI 53181

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES MATHISON
Signature Title PRESIDENT
Signature Date 8/6/19

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