FORM 1023-EZ for SEMPER RUNNING FOUNDATION INC

Field Data
EIN 84-4681338
Case Number EO-2020044-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEMPER RUNNING FOUNDATION INC
Organization’s Mailing Address N2420 COUNTY RD O
City DELAVAN
State WI
ZIP 53115
Accounting period End 12
Primary contact name CARLIE BLACKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE MANNELLA
OFFICER
N3316 OAK RD
LAKE GENEVA WI 53147

Officer/Director/Trustee Two

JODY DASE
OFFICER
549 WINTER DRIVE
WALWORTH WI 53184

Officer/Director/Trustee Three

BRUCE VOSS
OFFICER
W6780 STATE RD 67
WALWORTH WI 53184

Officer/Director/Trustee Four

SHANNON WYNN
OFFICER
W2560 BOOTH LAKE HEIGHTS LN
EAST TROY WI 53120

Officer/Director/Trustee Five

CARLIE BLACKMAN
OFFICER
N2420 COUNTY RD O
DELAVAN WI 53115

Organization’s website WWW.SEMPERRUNNING.COM
Organization’s email RACEDIRECTOR@SEMPERRUNNING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 CARLIE BLACKMAN
Signature Title OFFICER
Signature Date 2/11/2020

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