FORM 1023-EZ for WALDHART FAMILY FOUNDATION INC

Field Data
EIN 81-4540830
Case Number EO-2016340-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WALDHART FAMILY FOUNDATION INC
Organization’s Mailing Address 4713 SCOTCH PINE CIRCLE
City SHEBOYGAN
State WI
ZIP 53083
Accounting period End 12
Primary contact name STEPHANIE BAUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD WALDHART
DIRECTOR/TREASURER/SECRETARY
4713 SCOTCH PINE CIRCLE
SHEBOYGAN WI 53083

Officer/Director/Trustee Two

TRACY ANN WALDHART
DIRECTOR/PRESIDENT
4713 SCOTCH PINE CIRCLE
SHEBOYGAN WI 53083

Officer/Director/Trustee Three

STEVEN WALDHART
DIRECTOR/VICE PRESIDENT
301 ROYAL OAK COURT
SLINGER WI 53086

Officer/Director/Trustee Four

REBECCA SMITH
DIRECTOR
425 S HILLS DRIVE
PLYMOUTH WI 53073-4061

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2016
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: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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