FORM 1023-EZ for APPLETON YOUTH EDUCATION INITITIAVEUA

Field Data
EIN 83-3825060
Case Number EO-2019066-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPLETON YOUTH EDUCATION INITITIAVEUA
Organization’s Mailing Address 3124 N OAKDALE LANE
City APPLETON
State WI
ZIP 54914
Accounting period End 12
Primary contact name ATTORNEY THOMAS SEWALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IVAN FAN
DIRECTOR
3124 N OAKDALE LANE
APPLETON WI 54914

Officer/Director/Trustee Two

GREG HARTJES
DIRECTOR
122 E COLLEGE AVE STE 1A
APPLETON WI 54914

Officer/Director/Trustee Three

ALEX FAN
DIRECTOR
3124 N OAKDALE LANE
APPLETON WI 54914

Organization’s website HTTP://WWW3.AASD.K12.WI.US/AYEI/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name IVAN FAN
Signature Title DIRECTOR
Signature Date 3/5/19

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