FORM 1023-EZ for RAYCESTRONG FOREVER INC

Field Data
EIN 83-1099945
Case Number EO-2019303-000423
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RAYCESTRONG FOREVER INC
Organization’s Mailing Address 619 OVERLOOK TERRACE
City DEFOREST
State WI
ZIP 53532
Accounting period End 12
Primary contact name JAMA GRAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA FREY
PRESIDENT
619 OVERLOOK TERRACE
DEFOREST WI 53532

Officer/Director/Trustee Two

BRAD DULFRIN
VICE PRESIDENT
619 OVERLOOK TERRACE
DEFOREST WI 53532

Officer/Director/Trustee Three

ERIN YOUNG
SECRETARY TREASURER
407 LUEDERS ROAD
SAUK CITY WI 53583

Officer/Director/Trustee Four

MATTHEW BRENNAN
BOARD MEMBER
2012 TUMBLEWEED DRIVE
PRAIRIE DU SAC WI 53578

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JESSICA FREY
Signature Title PRESIDENT
Signature Date 10/28/19

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