FORM 1023-EZ for RAD-RESCUE ADOPT DONATE INC CRITTERS AND BLUES

Field Data
EIN 82-3181588
Case Number EO-2017312-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAD-RESCUE ADOPT DONATE INC CRITTERS AND BLUES
Organization’s Mailing Address 423 NORTH LANE DRIVE
City MARATHON
State WI
ZIP 54448
Accounting period End 12
Primary contact name JOSEPH OSIMITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH OSIMITZ
PRESIDENT
423 NORTH LANE DRIVE
MARATHON WI 54448

Officer/Director/Trustee Two

CLYDE RAYMOND
TREASURER
220 WINDTREE DRIVE
WAUSAU WI 54401

Officer/Director/Trustee Three

BRUCE MUSHYNSKI
VICE PRESIDENT
6300 BIRCH ST LOT 117
WESTON WI 54476

Officer/Director/Trustee Four

PAM HOLTON
SECRETARY
314 SOUTH 9TH AVE
WAUSAU WI 54401

Officer/Director/Trustee Five

PATTI STANK
OFFICER/FUNDRAISING ADVISOR
9701 COUNTY ROAD U
WAUSAU WI 54401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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