FORM 1023-EZ for ST VINCENT DE PAUL OF SHULLSBURG INC

Field Data
EIN 83-1983648
Case Number EO-2018267-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST VINCENT DE PAUL OF SHULLSBURG INC
Organization’s Mailing Address 25223 DRY BONE ROAD
City CUBA CITY
State WI
ZIP 53807
Accounting period End 12
Primary contact name MYRTLE A WEBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MYRTLE WEBER
SECRETARY/TREASURER
348 N JUDGEMENT
CUBA CITY WI 53586

Officer/Director/Trustee Two

NANCY MONAHAN
VICE PRESIDENT
348 N JUDGEMENT
CUBA CITY WI 53586

Officer/Director/Trustee Three

BERNARD AVERCAMP
PRESIDENT
348 N JUDGEMENT
CUBA CITY WI 53586

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 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 MYRTLE WEBER
Signature Title SECRETARY/TREASURER
Signature Date 9/21/18

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