FORM 1023-EZ for MOMS PURSE

Field Data
EIN 83-4665823
Case Number EO-2019206-000021
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMS PURSE
Organization’s Mailing Address 810 SUPERIOR AVE
City TOMAH
State WI
ZIP 54660
Accounting period End 12
Primary contact name MIKE MURRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE MURRAY
PRESIDENT
811 N GLENDALE AVE
TOMAH WI 54660

Officer/Director/Trustee Two

WENDY MURRAY
VICE PRESIDENT
517 NOTH AVE
TOMAH WI 54660

Officer/Director/Trustee Three

RICKY MURRAY
TREASURER
517 NOTH AVE
TOMAH WI 54660

Officer/Director/Trustee Four

KATHY PETH
SECRETARY
514 W BENTON ST
TOMAH WI 54660

Officer/Director/Trustee Five

BRUCE PETH
MEMBER
514 W BENTON ST
TOMAH WI 54660

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R19 - Nonmonetary Support N.E.C.
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 MIKE MURRAY
Signature Title PRESIDENT
Signature Date 7/23/19

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