FORM 1023-EZ for ST MARY FOUNDATION

Field Data
EIN 83-2465927
Case Number EO-2019122-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST MARY FOUNDATION
Organization’s Mailing Address W4608 RIVER RD
City FREDONIA
State WI
ZIP 53021-9217
Accounting period End 12
Primary contact name JOHN JANIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN JANIK
CHAIRMAN
W4608 RIVER ROAD
FREDONIA WI 53021

Officer/Director/Trustee Two

DAVID JANIK
PRESIDENT
W4680 RIVER RD
FREDONIA WI 53021

Officer/Director/Trustee Three

CHRISTOPHER JANIK
TREASURER
W4578 RIVER ROAD
FREDONIA WI 53021

Officer/Director/Trustee Four

WARD WEAVER
DIRECTOR
N6850 PIONEER DRIVE
FREDONIA WI 53021

Officer/Director/Trustee Five

LEON JACOBY
DIRECTOR
N169 KROGER COURT
CEDAR GROVE WI 53013

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 JOHN JANIK
Signature Title CHAIRMAN
Signature Date 4/30/19

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