FORM 1023-EZ for JIM EUTIZZI ALS FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 81-1853837 |
| Case Number | EO-2016152-000180 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | JIM EUTIZZI ALS FOUNDATION INC |
| Organization’s Mailing Address | 646 N BUTH ROAD |
| City | DOUSMAN |
| State | WI |
| ZIP | 53118 |
| Accounting period End | 12 |
| Primary contact name | PHILIP J REMMERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
RAJA A AYLSWORTH
DIRECTOR/OFFICER
646 N BUTH ROAD
DOUSMAN WI 53118
Officer/Director/Trustee Two
SCOTT P JACKA
DIRECTOR/OFFICER
1269 RIVER PLACE BLVD
WAUKESHA WI 53189
Officer/Director/Trustee Three
THOMAS A FULLER
DIRECTOR/OFFICER
1215 WOODVIEW DIRVE
WAUKESHA WI 53189
Officer/Director/Trustee Four
DALE MCFARLANE
DIRECTOR/OFFICER
1257 WOODVIEW DRIVE
WAUKESHA WI 53189
Officer/Director/Trustee Five
COLLEEN MCHUGH-MOORE
OFFICER
1269 RIVER PLACE BLVD
WAUKESHA WI 53189
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/4/2016 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| 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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