FORM 1023-EZ for SLIM MARGINS ROBOTICS TEAM LTD

Field Data
EIN 81-2340170
Case Number EO-2016116-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SLIM MARGINS ROBOTICS TEAM LTD
Organization’s Mailing Address 2543-B TELLURIDE TRL
City GREEN BAY
State WI
ZIP 54313-3972
Accounting period End 6
Primary contact name JAY P BLAZEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JODI SELLHAUSEN
PRESIDENT
14685 FORRESTER RD
LAKEWOOD WI 54138

Officer/Director/Trustee Two

PATRICIA DELZER
TREASURER
3749 COUNTY RD J
ABRAMS WI 54101

Officer/Director/Trustee Three

JACOB SELLHAUSEN
SECRETARY
14685 FORRESTER RD
LAKEWOOD WI 54138

Officer/Director/Trustee Four

JAY BLAZEK
ASST TREASURER
2543-B TELLURIDE TRL
GREEN BAY WI 54313-3972

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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
Signature Title
Signature Date

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