FORM 1023-EZ for APPLETON VISUALLY IMPAIRED SUPPORTGROUP INCORPORATED

Field Data
EIN 85-3299930
Case Number EO-2021015-000052
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPLETON VISUALLY IMPAIRED SUPPORTGROUP INCORPORATED
Organization’s Mailing Address 3303 E HEIDEMANN DR
City APPLETON
State WI
ZIP 54915-4134
Accounting period End 12
Primary contact name DAPHNE KENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAPHNE KENNETT
PRESIDENT
3303 E HEIDEMANN DRIVE
APPLETON WI 54915-4134

Officer/Director/Trustee Two

RICHARD BORREE
VP
1010 HOOVER AVE
LITTLE CHUTE WI 54140

Officer/Director/Trustee Three

MARILYN BORREE
TREASURER
1010 HOOVER AVE
LITTLE CHUTE WI 54140

Officer/Director/Trustee Four

DAWN FISHER
SECRETARY
2212 N MASON ST
APPLETON WI 54914-2376

Organization’s website SITES.GOOGLE.COM/VIEW/APLVISUALLYIMPAIRED
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAPHNE KENNETT
Signature Title PRESIDENT
Signature Date 11/18/2020

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