FORM 1023-EZ for PORT WASHINGTON SAUKVILLE ECUMENICAL YOUTH MINISTRY

Field Data
EIN 83-1944535
Case Number EO-2018305-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORT WASHINGTON SAUKVILLE ECUMENICAL YOUTH MINISTRY
Organization’s Mailing Address 505 W GRAND AVE
City PORT WASHINGTON
State WI
ZIP 53074
Accounting period End 12
Primary contact name RAYMOND SHUPE JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND SHUPE JR
PRESIDENT
1522 PARKVIEW LN
PORT WASHINGTON WI 53074

Officer/Director/Trustee Two

ERIN FOSTER
VICE PRESIDENT
209 MIDDLE RD
BELGIUM WI 53004

Officer/Director/Trustee Three

ALEXANDRA PIEPER
SECRETARY
7101 SIX MILE RD
BELGIUM WI 53004

Officer/Director/Trustee Four

DAVID ANDERSON
TREASURER
1505 WISCONSIN AVE APT 317
GRAFTON WI 53024

Officer/Director/Trustee Five

MARLA RACE
BOARD MEMBER
189 S CLARMOUNT RD
SAUKVILLE WI 53024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: No
Religious: Yes
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 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 RAYMOND SHUPE JR
Signature Title PRESIDENT
Signature Date 10/30/18

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