FORM 1023-EZ for FREE BIKES 4 KIDZ MADISON INC

Field Data
EIN 81-4356356
Case Number EO-2016328-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREE BIKES 4 KIDZ MADISON INC
Organization’s Mailing Address 213 W MADISON STREET
City LAKE MILLS
State WI
ZIP 53551
Accounting period End 12
Primary contact name ANDREW QUANDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW COURSIN
PRESIDENT
622 CHATHAM TERRACE
MADISON WI 53711

Officer/Director/Trustee Two

NICHOLAS OSIECKI
VICE PRESIDENT
2530 VAN HISE AVENUE
MADISON WI 53705

Officer/Director/Trustee Three

MAGARET GINSBERG
SECRETARY/TREASURER
10826 BLUE MOUNTAIN AVENUE
BLUE MOUND WI 53517

Officer/Director/Trustee Four

ANDREW QUAN
EXECUTIVE DIRECTOR
213 W MADISON STREET
LA WI 53551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O19 - Nonmonetary Support N.E.C.
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 Yes
Donation of funds No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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