FORM 1023-EZ for DIANE M HENDRICKS FOUNDATION

Field Data
EIN 83-6592872
Case Number EO-2019030-000553
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIANE M HENDRICKS FOUNDATION
Organization’s Mailing Address 414 N MAIN STREET
City THIENSVILLE
State WI
ZIP 53092
Accounting period End 12
Primary contact name ATTORNEY MAUREEN OLEARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE HENDRICKS
TRUSTEE
414 N MAIN STREET
THIENSVILLE WI 53092

Organization’s website NONE
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
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 DIANE HENDRICKS
Signature Title TRUSTEE
Signature Date 12/27/18

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