FORM 1023-EZ for FAMILY HOUSE ON HEART ISLAND INC

Field Data
EIN 81-2511185
Case Number EO-2018008-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY HOUSE ON HEART ISLAND INC
Organization’s Mailing Address PO BOX 29
City RICE LAKE
State WI
ZIP 54868
Accounting period End 12
Primary contact name THOMAS BREMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUANA BREMER
CHAIR
20 EAST DOUGLAS STREET
RICE LAKE WI 54868

Officer/Director/Trustee Two

CLAUDINE BALIO
VICE CHAIR
1113 HEART ISLAND PARKWAY
RICE LAKE WI 54868

Officer/Director/Trustee Three

DONNA KRINGLE
SECRETARY
2361 27TH STREET
RICE LAKE WI 54868

Officer/Director/Trustee Four

THOMAS BREMER
TREASURER
20 EAST DOUGLAS STREET
RICE LAKE WI 54868

Officer/Director/Trustee Five

CLAUDINE BALIO
BOARD MEMBER
1113 HEART ISLAND PARKWAY
RICE LAKE WI 54868

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/16
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 THOMAS BREMER
Signature Title TREASURER
Signature Date 1/6/18

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