FORM 1023-EZ for A PLACE FOR MAX INC

Field Data
EIN 84-1748744
Case Number EO-2019158-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A PLACE FOR MAX INC
Organization’s Mailing Address 84 N RAYMOND ST
City MARINETTE
State WI
ZIP 54143
Accounting period End 12
Primary contact name JENNIFER SCHILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL SCHILLER
PRESIDENT
4303 13TH STREET
MENOMINEE MI 49858

Officer/Director/Trustee Two

JENNIFER SCHILLER
SECRETARY
84 N RAYMOND ST
MARINETTE WI 54143

Officer/Director/Trustee Three

NICOLE ALBRECHT
DIRECTOR
W4131 CEDAR CREST LANE
PESHTIGO WI 54157

Officer/Director/Trustee Four

MARY STAUDENMAIER
DIRECTOR
2411 RIVERSIDE AVE
MARINETTE WI 54143

Officer/Director/Trustee Five

BRIGETTE MICHAELS
DIRECTOR
N1656 HALE ROAD
PESHTIGO WI 54157

Organization’s website
Organization’s email JSCHILLER@APLACEFORMAX.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 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 DANIEL SCHILLER
Signature Title PRESIDENT
Signature Date 6/5/19

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