FORM 1023-EZ for BOB GALASKA MEMORIAL FOUNDATION INC

Field Data
EIN 82-5234282
Case Number EO-2018151-000038
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOB GALASKA MEMORIAL FOUNDATION INC
Organization’s Mailing Address 317 MEADOW RIDGE COURT
City HUDSON
State WI
ZIP 54016-8730
Accounting period End 12
Primary contact name JAMISON YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMISON YOUNG
PRESIDENT
317 MEADOW RIDGE COURT
HUDSON WI 54016-8730

Officer/Director/Trustee Two

ANDREW PEVONKA
TREASURER
W2905 COUTY ROAD S
FREEDOM WI 54130-7263

Officer/Director/Trustee Three

HOLLY SCHAUMBERG
SECRETARY
1053 WEST FLORIDA AVENUE
LITTLE CHUTE WI 54140-2617

Organization’s website WWW.BOBGALASKAMEMORIALFOUNDATION.ORG
Organization’s email JAMISONANNEYOUNG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMISON YOUNG
Signature Title PRESIDENT
Signature Date 5/29/18

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