FORM 1023-EZ for CUMBERLAND COMMUNITY CARES INC

Field Data
EIN 46-3349310
Case Number EO-2016232-000472
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CUMBERLAND COMMUNITY CARES INC
Organization’s Mailing Address 2160 SUPERIOR AVE
City CUMBERLAND
State WI
ZIP 54829
Accounting period End 12
Primary contact name THERESA SHADICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK RICCI
PRESIDENT
2160 SUPERIOR AVE
CUMBERLAND WI 54829

Officer/Director/Trustee Two

THERESA SHADICK
TREASURER
1550 BERDAN ST
CUMBERLAND WI 54829

Officer/Director/Trustee Three

NICOLE DONATELL
VICE PRESIDENT
2390 3RD ST
CUMBERLAND WI 54829

Officer/Director/Trustee Four

WENDY WEAVER
SECRETARY
1315 6TH AVE
CUMBERLAND WI 54829

Officer/Director/Trustee Five

MARTY LUNDEQUAM
DIRECTOR
1915 ABBY RD
CUMBERLAND WI 54829

Organization’s website WWW.CUMBERLANDCARES.ORG
Organization’s email CUMBERLANDMEMORIALWALK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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