FORM 1023-EZ for ROGER ABBOTT FOUNDATION FOR BLOOD DISEASE RESEARCH INC

Field Data
EIN 83-4698609
Case Number EO-2019171-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROGER ABBOTT FOUNDATION FOR BLOOD DISEASE RESEARCH INC
Organization’s Mailing Address N22 W24117 CLOISTER CIRCLE 7E
City PEWAUKEE
State WI
ZIP 53072
Accounting period End 12
Primary contact name JOANNE ABBOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOANNE ABBOTT
PRESIDENT AND DIRECTOR
N22 W24117 CLOISTER CIRCLE 7E
PEWAUKEE WI 53072

Officer/Director/Trustee Two

ANDREA DONALDSON
VICE PRESIDENT AND DIRECTOR
2544 N 97TH STREET
WAUWATOSA WI 53226

Officer/Director/Trustee Three

JUSTIN ABBOTT
TREASURER AND DIRECTOR
2136 N 91ST STREET
WAUWATOSA WI 53226

Officer/Director/Trustee Four

TODD SCHOBER
SECRETARY AND DIRECTOR
6712 ALTAMOUNT CIRCLE
MOUNT PLEASANT WI 53406

Officer/Director/Trustee Five

RON KNUDSEN
DIRECTOR
14715 UPPER CAMERON DRIVE
BROOKFIELD WI 53005

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 JUSTIN ABBOTT
Signature Title TREASURER AND DIRECTOR
Signature Date 6/18/19

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