FORM 1023-EZ for SPIRITUAL BOOTCAMP INC

Field Data
EIN 85-3267426
Case Number EO-2021020-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPIRITUAL BOOTCAMP INC
Organization’s Mailing Address 2025 WEST KOHL DRIVE
City APPLETON
State WI
ZIP 54913
Accounting period End 12
Primary contact name MARK HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK HARRIS
PRESIDENT
2025 WEST KOHL DRIVE
APPLETON WI 54913

Officer/Director/Trustee Two

TERESA HARRIS
VICE PRESIDENT
2025 WEST KOHL DRIVE
APPLETON WI 54913

Officer/Director/Trustee Three

BARB MLODZK
SECRETARY
1220 HILLCREST DRIVE
KAUKAUNA WI 54130

Officer/Director/Trustee Four

PAT COSTELLO
TREASURER
5888 N OSPREY DRIVE
APPLETON WI 54913

Officer/Director/Trustee Five

GAY WAGNER
MEMBER
5555 ANNA MARIE LANE
CINCINNATI OH 45247

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK HARRIS
Signature Title PRESIDENT
Signature Date 11/21/2020

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