FORM 1023-EZ for POSITIVELY PICKETT CORP

Field Data
EIN 81-1721758
Case Number EO-2016090-000545
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVELY PICKETT CORP
Organization’s Mailing Address 2837 SCHAEFER CIRCLE
City APPLETON
State WI
ZIP 54915-6626
Accounting period End 6
Primary contact name BRADLEY J PICKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRADLEY PICKETT
EXECUTIVE DIRECTOR
2837 SCHAEFER CIRCLE
APPLETON WI 54915-6626

Officer/Director/Trustee Two

AMANDA HUSTON
DIRECTOR OF OPERATIONS
1741 OAKRIDGE COURT
MENASHA WI 54952-1255

Officer/Director/Trustee Three

MELISSA PICKETT
DIRECTOR OF RESOURCES
2837 SCHAEFER CIRCLE
APPLETON WI 54915-6626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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
Signature Title
Signature Date

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