FORM 1023-EZ for 14&3 INC

Field Data
EIN 85-1853775
Case Number EO-2020302-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 14&3 INC
Organization’s Mailing Address 1624 WESTERN STREET
City OSHKOSH
State WI
ZIP 54901
Accounting period End 12
Primary contact name KATHRYN BLOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM BELLCORELLI
PRESIDENT / DIRECTOR
1624 WESTERN STRET
OSHKOSH WI 54901-2869

Officer/Director/Trustee Two

BARBARA PAWOWSKI
SECRETARY / DIRECTOR
506 SCHMIDT AVENUE
ROTHSCHILD WI 54474-1242

Officer/Director/Trustee Three

KRISTIN BOCK
VICE PRES / DIRECTOR
1388 BABBITZ AVENUE
OSHKOSH WI 54901-5302

Officer/Director/Trustee Four

ROBB OLSON
TREASURER / DIRECTOR
100 NORTH RAND ROAD APT 5
LAKE ZURICH IL 60047-7007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 ADAM BELLCORELLI
Signature Title PRESIDENT / DIRECTOR
Signature Date 10/26/2020

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