FORM 1023-EZ for WELCOME HOME NEW INC

Field Data
EIN 46-1529874
Case Number EO-2015357-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELCOME HOME NEW INC
Organization’s Mailing Address 3251 S CLAY STREET
City GREEN BAY
State WI
ZIP 54301
Accounting period End 12
Primary contact name DAVID BERTRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHEILA BERTRAND
PRESIDENT
3251 S CLAY STREET
GREEN BAY WI 54301

Officer/Director/Trustee Two

JULIE BRUNNER
SECRETARY
426 CUSTER COURT
GREEN BAY WI 54301

Officer/Director/Trustee Three

LOUIS CANNELLA
BOARD MEMBER
3059 BAY VIEW DRIVE
GREEN BAY WI 54313

Officer/Director/Trustee Four

KATRINA SHIELDS
BOARD MEMBER
6693 STATE ROAD 57
GREEN LEIF WI 54115

Officer/Director/Trustee Five

DAVID BERTRAND
EXECUTIVE DIRECTOR
3251 S CLAY STREET
GREEN BAY WI 54301

Organization’s website
Organization’s email DBERTRAND@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2012
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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