FORM 1023-EZ for BREWSTERS PLACE INC

Field Data
EIN 84-4718164
Case Number EO-2020055-000468
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREWSTERS PLACE INC
Organization’s Mailing Address 2611 NEWBERRY AVE
City GREEN BAY
State WI
ZIP 54302
Accounting period End 12
Primary contact name KELLY POWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY POWERS
PRESIDENT
2611 NEWBERRY AVE
GREEN BAY WI 54302

Officer/Director/Trustee Two

DAVID POWERS
VICE PRESIDENT
2611 NEWBERRY AVE
GREEN BAY WI 54302

Officer/Director/Trustee Three

ALAYNA POWERS
SECRETARY
2611 NEWBERRY AVE
GREEN BAY WI 54302

Organization’s website
Organization’s email BREWSTERSPLACE01@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 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 KELLY POWERS
Signature Title PRESIDENT
Signature Date 2/20/2020

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