FORM 1023-EZ for MANCHU SAMURAI

Field Data
EIN 39-1917269
Case Number EO-2020009-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MANCHU SAMURAI
Organization’s Mailing Address PO BOX 6562
City MILWAUKEE
State WI
ZIP 53206
Accounting period End 12
Primary contact name LAMARIS MAYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAMARIS MAYS
PRESIDENT
5368 N HOPKINS
MILWAUKEE WI 53209

Officer/Director/Trustee Two

ORLANDO BUTLER
VICE PRESIDENT
4409 W GARFIELD AVE
MILWAUKEE WI 53208

Officer/Director/Trustee Three

GEORGE PUMPHCEY
SECTARY
3827 W HOPE AVE APT 3
MILW3AUKEE WY 53222

Officer/Director/Trustee Four

FRANK WILLIAMS
TREASURER
10119 GRANT CR APT 2
WEST ALLIS WI 53227

Officer/Director/Trustee Five

JAKKI CAMBELL
BORD MEMER
2540 N 14 ST
MILWAUKEE WI 53206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2011
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name LAMARIS MAYS
Signature Title PRESIDENT
Signature Date 1/7/2020

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