FORM 1023-EZ for BRITTINGHAM VIKING SCHOLARS ORGANIZATION INC

Field Data
EIN 47-3387713
Case Number EO-2018250-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRITTINGHAM VIKING SCHOLARS ORGANIZATION INC
Organization’s Mailing Address 710 BRUCE CT
City MADISON
State WI
ZIP 53705-3310
Accounting period End 6
Primary contact name SAM MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE RYBECK-WOLCOTT
PRESIDENT
315 E LEXINGTON BLVD
WHITEFISH BAY WI 53217-5144

Officer/Director/Trustee Two

NATHANIEL DAUSCHMIDT
VICE PRESIDENT
126 CORY ST
MADISON WI 53704-5407

Officer/Director/Trustee Three

ERICA ENGSTRAND
SECRETARY
2125 ELM TREE RD
ELM GROVE WI 53122-1119

Officer/Director/Trustee Four

HILLARY KIRKING
CO-TREASURER
6314 W POMEROY RD
EDGERTON WI 53534-9757

Officer/Director/Trustee Five

SAMUEL MOORE
CO-TREASURER
710 BRUCE CT
MADISON WI 53705-3310

Organization’s website
Organization’s email MOORESL1827@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/15
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q22 - International Student Exchange and Aid
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAMUEL MOORE
Signature Title CO-TREASURER
Signature Date 9/5/18

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