FORM 1023-EZ for RESIDENCY TRAINING CENTER OF WISCONSIN INC

Field Data
EIN 81-2986804
Case Number EO-2017212-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESIDENCY TRAINING CENTER OF WISCONSIN INC
Organization’s Mailing Address 675 NORTH BARKER ROAD SUITE 300
City BROOKFIELD
State WI
ZIP 53045
Accounting period End 12
Primary contact name WILLIAM DOVI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT SIMON
PRESIDENT AND DIRECTOR
675 NORTH BARKER ROAD SUITE 300
BROOKFIELD WI 53045

Officer/Director/Trustee Two

WILLIAM DOVI
VICE PRESIDENT AND DIRECTOR
630 MONROE STREET
WATERLOO WI 53189

Officer/Director/Trustee Three

ROBERT WOLFGRAM
SECRETARY, TREASURER AND DIRECTOR
W23S5162 ERMINE COURT
WAUKESHA WI 53189

Officer/Director/Trustee Four

DONA MERG
DIRECTOR
3636 JOHNSON DRIVE
DEERFIELD WI 53531

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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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