FORM 1023-EZ for PEYTONS PROMISE INC
| Field | Data |
|---|---|
| EIN | 35-2393280 |
| Case Number | EO-2014303-000497 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PEYTONS PROMISE INC |
| Organization’s Mailing Address | 3502 MAKENZIE DRIVE |
| City | WESTON |
| State | WI |
| ZIP | 54476 |
| Accounting period End | 12 |
| Primary contact name | ATTORNEY JOHN B WAGMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
CHRISTINA MEDICK
PRESIDENT
3502 MAKENZIE DRIVE
WESTON WI 54476
Officer/Director/Trustee Two
BRYAN BLOEMERS
VICE PRESIDENT
5402 WINDING CREEK DRIVE
WESTON WI 54476
Officer/Director/Trustee Three
JOHN OPOLKA
TREASURER
5317 RUSSELL DRIVE
WAUSAU WI 54401
Officer/Director/Trustee Four
SHANNON WAGMAN
SECRETARY
205 TUZIGOOT LANE
WAUSAU WI 54403
Officer/Director/Trustee Five
JOHN WAGMAN
DIRECTOR
500 THIRD STREET SUITE 800
WAUSAU WI 54402
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/22/2013 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K31 - Food Banks, Food Pantries |
| 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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