FORM 1023-EZ for FRIENDS OF THE PULASKI ADULT ACTIVITY CENTER

Field Data
EIN 82-3110106
Case Number EO-2017292-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE PULASKI ADULT ACTIVITY CENTER
Organization’s Mailing Address 430 S ST AUGUSTINE ST APT 14
City PULASKI
State WI
ZIP 54313
Accounting period End 6
Primary contact name KITTY KAARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA VOELKER
TREASURER
N1045 MAPLE RD
PULASKI WI 54162

Officer/Director/Trustee Two

LARRY PUZEN
PRESIDENT
211 FRONT ST
PULASKI WI 54162

Officer/Director/Trustee Three

KITTY KAARI
SECRETARY
498 TRIANGLE DR
GREEN BAY WI 54313

Officer/Director/Trustee Four

LORRAINE PASOWICZ
DIRECTOR
503 FLORA ST
PULASKI WI 54162

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
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
Signature Title
Signature Date

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