FORM 1023-EZ for PELOTON4PARKINSONS INC

Field Data
EIN 84-4317108
Case Number EO-2020034-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PELOTON4PARKINSONS INC
Organization’s Mailing Address 1143 SOMMERS STREET NORTH
City HUDSON
State WI
ZIP 54016
Accounting period End 12
Primary contact name KARRIE WEAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC TOSTRUD
PRESIDENT
1143 SOMMERS STREET NORTH
HUDSON WI 54016

Officer/Director/Trustee Two

SARAH TOSTRUD
TREASURER
1143 SOMMERS STREET NORTH
HUDSON WI 54016

Officer/Director/Trustee Three

JAMES TOSTRUD
DIRECTOR
N930 ALLEN ROAD
BROWNTOWN WI 53522

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2020
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: 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 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 ERIC TOSTRUD
Signature Title PRESIDENT
Signature Date 1/30/2020

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