FORM 1023-EZ for END SEXUAL ASSAULT INCORPORATED

Field Data
EIN 81-4020135
Case Number EO-2017027-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name END SEXUAL ASSAULT INCORPORATED
Organization’s Mailing Address 822 STILLWELL AVENUE
City OSHKOSH
State WI
ZIP 54901
Accounting period End 12
Primary contact name HEATHER MIKKELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER MIKKELSON
PRESIDENT
822 STILLWELL AVENUE
OSHKOSH WI 54901

Officer/Director/Trustee Two

TIA JAMES
ADVOCATE DIRECTOR
1522 SOUTH NICOLET RAOD
GRAND CHUTE WI 54914

Officer/Director/Trustee Three

ANDREA TOMS
SECRETARY
1534 GROVE STREET
OSHKOSH WI 54901

Organization’s website WWW.ENDSEXUALASSAULT.ORG
Organization’s email WWW.ENDSEXUALASSAULTINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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