FORM 1023-EZ for FOX VALLEY WALK TO EMMAUS

Field Data
EIN 61-1592276
Case Number EO-2015309-000028
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOX VALLEY WALK TO EMMAUS
Organization’s Mailing Address PO BOX 12541
City GREEN BAY
State WI
ZIP 54307
Accounting period End 12
Primary contact name DAVID BRANTINGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY VINGER
CHAIRPERSON
1435 BIEMERET ST
GREEN BAY WI 54304

Officer/Director/Trustee Two

DAVID BRANTINGHAM
ASSISTANCE CHAIRPERSON
5895 POINTE WEST DR
WINNECONNE WI 54986

Officer/Director/Trustee Three

CHRIS CHANDLER
TREASURER
1816 HUBBARD ST
OSHKOSH WI 54902

Officer/Director/Trustee Four

BRIAN GASS
SECRETARY
1702 N CLARK ST
APPLETON WI 54491

Organization’s website WWW.FOXVALLEYEMMAUS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2007
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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