FORM 1023-EZ for FROSTYS FOSTERS ANIMAL RESCUE INC

Field Data
EIN 47-5339380
Case Number EO-2015292-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FROSTYS FOSTERS ANIMAL RESCUE INC
Organization’s Mailing Address 115 TWIN LANE
City BEAVER DAM
State WI
ZIP 53916-2236
Accounting period End 12
Primary contact name FOSTINA UELMEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FOSTINA UELMEN
DIRECTOR
115 TWIN LANE
BEAVER DAM WI 53916

Officer/Director/Trustee Two

NICK UELMEN
DIRECTOR
115 TWIN LANE
BEAVER DAM WI 53916

Officer/Director/Trustee Three

HEATHER GOCHENAUR
OFFICER
727 BRAGG ST
FDL WI 54935

Officer/Director/Trustee Four

TAMMY SILLAH
OFFICER
115 TWIN LANE
BEAVER DAM WI 53916

Officer/Director/Trustee Five

CAROL REUTER
OFFICER
127 WALNUT ST
BEAVER DAM WI 53916

Organization’s website
Organization’s email FROSTYSFOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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