FORM 1023-EZ for WALT HAMBURGER FOUNDATION INC

Field Data
EIN 82-3768785
Case Number EO-2018108-000049
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WALT HAMBURGER FOUNDATION INC
Organization’s Mailing Address 350 ELM ST
City MENASHA
State WI
ZIP 54952
Accounting period End 12
Primary contact name ATTY MATTHEW D BREHMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WALTER LONTKOWSKI
PRESIDENT
350 ELM STREET
MENASHA WI 54952

Officer/Director/Trustee Two

JENNIFER KRONBERG
VICE PRESIDENT
521 E LINCOLN ST
APPLETON WI 54915

Officer/Director/Trustee Three

CAROLYN THEISEN
SECRETARY TREASURER
362 ELM ST
MENASHA WI 54952

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 WALTER LONTKOWSKI
Signature Title PRESIDENT
Signature Date 3/20/18

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