FORM 1023-EZ for HOPES HOUSE

Field Data
EIN 83-1529398
Case Number EO-2019163-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPES HOUSE
Organization’s Mailing Address 2301 RIVERSIDE DR SUITE 9
City GREEN BAY
State WI
ZIP 54301
Accounting period End 12
Primary contact name GINA PEOTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKY WITTMAN
BOARD PRESIDENT
W3833 COUNTY ROAD S
APPLETON WI 54913

Officer/Director/Trustee Two

NICOLE SAMSON
BOARD SECRETARY
1540 RAVINE DR
HOBART WI 54313

Officer/Director/Trustee Three

EMILY NEUMAN
BOARD TREASURER
433 DOERSCH TRAIL
SEYMOUR WI 54165

Officer/Director/Trustee Four

TRACY SCANLAN
BOARD MEMBER
2431 REGINALD HELL
DEPERE WI 54115

Officer/Director/Trustee Five

GINA PEOTTER
EXECUTIVE DIRECTOR
N8499 LAWN RD
SEYMOUR WI 54165

Organization’s website WWW.HOPESHOUSEWI.COM
Organization’s email INFO@HOPESHOUSEWI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 GINA PEOTTER
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/10/19

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