FORM 1023-EZ for NORTHEAST WISCONSIN VETERANS TREATMENT COURT FOUNDATION INC

Field Data
EIN 47-1382362
Case Number EO-2014223-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST WISCONSIN VETERANS TREATMENT COURT FOUNDATION INC
Organization’s Mailing Address 4684 CREEK VALLEY LANE
City ONEIDA
State WI
ZIP 54155
Accounting period End 12
Primary contact name ATTY JANE E SEUSY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TOM HINZ
PRESIDENT
4684 CREEK VALLEY LANE
ONEIDA WI 54155

Officer/Director/Trustee Two

CRAIG HUXFORD
VICE PRESIDENT/SECRETARY
2905 BAY SETTLEMENT ROAD
GREEN BAY WI 54311

Officer/Director/Trustee Three

MICHAEL BENO
TREASURER
1920 PARIS LANE
DE PERE WI 54115

Officer/Director/Trustee Four

JIM MAGESTRO
BOARD MEMBER AT LARGE
2865 BLUE JAY LANE
GREEN BAY WI 54313

Officer/Director/Trustee Five

JERRY POLLUS
BOARD MEMBER AT LARGE
705 EAST BRIAR LANE
GREEN BAY WI 54301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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