FORM 1023-EZ for SATORI HOUSE RECOVERY INC

Field Data
EIN 84-4420897
Case Number EO-2020036-000383
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SATORI HOUSE RECOVERY INC
Organization’s Mailing Address N368 US HWY 51
City DEFOREST
State WI
ZIP 53532-9706
Accounting period End 12
Primary contact name JAKE NIESEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAKE NIESEN
PRESIDENT
530 E CONANT STREET
PORTAGE WI 53901-2245

Officer/Director/Trustee Two

LESEAN AULTMAN
VICE PRESIDENT
530 E CONANT STREET
PORTAGE WI 53901-2245

Officer/Director/Trustee Three

JULIE ZIEGLER
TREASURER
N368 US HWY 51
DEFOREST WI 53532-9706

Organization’s website
Organization’s email JAKE@SATORIHOUSE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2020
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: 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 JAKE NIESEN
Signature Title PRESIDENT
Signature Date 2/3/2020

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