FORM 1023-EZ for CURTS CONQUEST FOR A CURE INC

Field Data
EIN 47-4058637
Case Number EO-2015167-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CURTS CONQUEST FOR A CURE INC
Organization’s Mailing Address 829 WAVELAND RD
City JANESVILLE
State WI
ZIP 53545
Accounting period End 12
Primary contact name CURTIS SAUSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CURTIS SAUSER
PRESIDENT
829 WAVELAND RD
JANESVILLE WI 53545

Officer/Director/Trustee Two

RYAN WILLIAMS
VICE PRESIDENT
1020 N AUSTIN RD
JANESVILLE WI 53548

Officer/Director/Trustee Three

JAYSEN JORGENSEN
SECRETARY
750 S HILL RD
BELOIT WI 53511

Officer/Director/Trustee Four

RICHARD HUHN
TREASURER
1301 ALPINE DRIVE
JANESVILLE WI 53546

Officer/Director/Trustee Five

WILLIAM HESSER
DIRECTOR
2436 OAKBROOK CT
JANESVILLE WI 53548

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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