FORM 1023-EZ for TEAL 2 HEAL

Field Data
EIN 82-1811411
Case Number EO-2017208-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAL 2 HEAL
Organization’s Mailing Address 693 COUNTY RD X
City MOSINEE
State WI
ZIP 54455
Accounting period End 7
Primary contact name MICHELLE OLSZEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE OLSZEWSKI
DIRECTOR
693 COUNTY RD X
MOSINEE WI 54455

Officer/Director/Trustee Two

LEIGH OLSZEWSKI
DIRECTOR
693 COUNTY RD X
MOSINEE WI 54455

Officer/Director/Trustee Three

SARAH OLSZEWSKI
DIRECTOR
1534 N HUMBOLDT AVE APT 35
MILWAUKEE WI 53202

Officer/Director/Trustee Four

KAYLEIGH STOLZE
DIRECTOR
716 N 1ST AVE
WAUSAU WI 54401

Officer/Director/Trustee Five

KALA-RAYE MCCLOUD
DIRECTOR
4851 RACHEL LN APT 12
WAUSAU WI 54401

Organization’s website WWW.TEAL2HEAL.COM
Organization’s email TEAL2HEALMO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
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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