FORM 1023-EZ for AP76

Field Data
EIN 45-5126571
Case Number EO-2016351-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AP76
Organization’s Mailing Address 7910 DAIRY RIDGE ROAD
City VERONA
State WI
ZIP 53593
Accounting period End 12
Primary contact name BRENDAN CONNELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL DRIFTMIER
PRESIDENT
7910 DAIRY RIDGE ROAD
VERONA WI 53593

Officer/Director/Trustee Two

ROSANNE LINDSAY
VICE PRESIDENT/DIRECTOR
7910 DAIRY RIDGE ROAD
VERONA WI 53593

Officer/Director/Trustee Three

DAVID GUMPERT
VICE PRESIDENT
7910 DAIRY RIDGE ROAD
VERONA WI 53593

Officer/Director/Trustee Four

BRENDAN CONNELLY
VICE PRESIDENT/DIRECTOR
7910 DAIRY RIDGE ROAD
VERONA WI 53593

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2012
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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