FORM 1023-EZ for COMMUNITY ASSISTANCE

Field Data
EIN 37-1637650
Case Number EO-2019106-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY ASSISTANCE
Organization’s Mailing Address 625 W FRANKLIN ST
City WEST SALEM
State WI
ZIP 54669
Accounting period End 12
Primary contact name LARRY OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY OLSON
PASTOR
PO BOX 861
WEST SALEM WI 54669

Officer/Director/Trustee Two

JONATHAN SCHMIDT
PASTOR
359 LEONARD ST N
WEST SALEM WI 54669

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/77
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 LARRY OLSON
Signature Title PASTOR
Signature Date 4/12/19

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