FORM 1023-EZ for OTHERLANDS INC

Field Data
EIN 82-5267480
Case Number EO-2018135-000497
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OTHERLANDS INC
Organization’s Mailing Address 601 E HANCOCK ST APT 15
City APPLETON
State WI
ZIP 54911-5080
Accounting period End 12
Primary contact name JAMES STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORIAN JUAREZ
PRESIDENT
601 E HANCOCK ST APT 15
APPLETON WI 54911-5080

Officer/Director/Trustee Two

JAMES STANLEY
SECRETARY
1335 INVERNESS LANE
NEENAH WI 54956

Officer/Director/Trustee Three

NICK BORELLI
VICE PRESIDENT
5515 6TH AVE SW
BISMARK WI 58504

Officer/Director/Trustee Four

ANNA JUAREZ
DIRECTOR COMMUNICATIONS
601 E HANCOCK ST APT 15
APPLETON WI 54911-5080

Officer/Director/Trustee Five

CHARLES AULD
TREASURER
326 ABBEY DR
POLK CITY FL 33868-5703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES STANLEY
Signature Title SECRETARY
Signature Date 5/10/18

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