FORM 1023-EZ for NEW BEGINNINGS HOMELESS SHELTER OFDODGE COUNTY INC

Field Data
EIN 39-1937276
Case Number EO-2021081-000649
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW BEGINNINGS HOMELESS SHELTER OFDODGE COUNTY INC
Organization’s Mailing Address 134 S SPRING ST
City BEAVER DAM
State WI
ZIP 53916-2330
Accounting period End 12
Primary contact name SUSAN BENTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN BENTER
PRESIDENT
N6768 FABISCH RD
BEAVER DAM WI 53916-9418

Officer/Director/Trustee Two

SUSAN HUGHES
TREASURER
W8464 COUNTY RD W
BEAVER DAM WI 53916-9421

Officer/Director/Trustee Three

CASSANDRA SCHMIDT
VICE PRESIDENT
N6511 SHAW HILL RD
BEAVER DAM WI 53916-8927

Officer/Director/Trustee Four

FR MICHAEL ERWIN
SECRETARY
408 S SPRING ST
BEAVER DAM WI 53916-2516

Officer/Director/Trustee Five

MIKE DEVITT
DIRECTOR
130A PARK AVE
BEAVER DAM WI 53916-2139

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/1998
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 Yes
Correctness Declaration Yes
Signature Name SUSAN BENTER
Signature Title PRESIDENT
Signature Date 1/29/2021

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