FORM 1023-EZ for TOM GUGEL FAMILY FUND

Field Data
EIN 81-3063566
Case Number EO-2017109-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOM GUGEL FAMILY FUND
Organization’s Mailing Address 6217 DOMINION DRIVE
City MADISON
State WI
ZIP 53718-3124
Accounting period End 12
Primary contact name DANIEL GUGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY GUGEL
PRESIDENT
6217 DOMINION DRIVE
MADISON WI 53718-3124

Officer/Director/Trustee Two

DANIEL GUGEL
CHIEF FINANCIAL OFFICER
391 N WESTMOUNT DRIVE
SUN PRAIRIE WI 53590-4284

Officer/Director/Trustee Three

KATHLEEN GUGEL
DIRECTOR
1005 BAY RIDGE ROAD
MADISON WI 53716-1510

Officer/Director/Trustee Four

ANDREA GUGEL
DIRECTOR
6701 RESTON HEIGHTS DRIVE 3
MADISON WI 53718-3315

Officer/Director/Trustee Five

RYAN ZINK
DIRECTOR
820 COLE COURT
PLANO IL 60545-9815

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
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 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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