FORM 1023-EZ for EMBARK FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 86-2005151 |
| Case Number | EO-2021096-000267 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EMBARK FOUNDATION INC |
| Organization’s Mailing Address | 2308 UNIVERSITY AVE APT 76 |
| City | MADISON |
| State | WI |
| ZIP | 53726 |
| Accounting period End | 12 |
| Primary contact name | SAMANTHA MICHAELS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SAMANTHA MICHAELS
EXECUTIVE DIRECTOR
W200S6873 ADRIAN DR
MUSKEGO WI 53150
Officer/Director/Trustee Two
HOLLY MUTH
DIRECTOR OF ADVOCACY & DEVELOPMENT
2308 UNIVERSITY AVE APT 76
MADISON WI 53726
Officer/Director/Trustee Three
ABIGAIL MORAVEC
DIRECTOR OF OUTREACH
302 PRAIRIE VIEW DR
NORTH PRAIRIE WI 53153
Officer/Director/Trustee Four
DIANA STEWART
DIRECTOR OF FINANCE & BRANDING
405 N LAKE ST APT 200
MADISON WI 53715
| Organization’s website | embarkwisconsin.org |
|---|---|
| Organization’s email | embarkwi@gmail.com |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/3/2021 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P50 - Personal Social Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| 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 | SAMANTHA MICHAELS |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 3/7/2021 |
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