FORM 1023-EZ for KETTLE MORAINE ANGELS

Field Data
EIN 83-3113278
Case Number EO-2019035-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KETTLE MORAINE ANGELS
Organization’s Mailing Address N3285 STATE HWY 67
City CAMPBELLSPORT
State WI
ZIP 53010
Accounting period End 12
Primary contact name TERESA MAHLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA MAHLER
SECRETARY
N3285 STATE ROAD 67
CAMPBELLSPORT WI 53010

Officer/Director/Trustee Two

MARY FULLER
PRESIDENT
N3954 SUNNY SLOPE AVE
CASCADE WI 53011

Officer/Director/Trustee Three

PATTY COLON
TREASURER
N3197 STATE RD 67
CAMPBELLSPORT WI 53010

Officer/Director/Trustee Four

DIANA CORBEIL
VICE-PRESIDENT
N3520 RED OAK DRIVE
CAMPBELLSPORT WI 53010

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 TERESA MAHLER
Signature Title SECRETARY
Signature Date 1/15/19

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