FORM 1023-EZ for CONTINUUM OF CARE FOR THE CITY ANDCOUNTY OF RACINE UA

Field Data
EIN 81-3907380
Case Number EO-2016266-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONTINUUM OF CARE FOR THE CITY ANDCOUNTY OF RACINE UA
Organization’s Mailing Address 4900 SPRING STREET SUITE 100
City RACINE
State WI
ZIP 53406
Accounting period End 12
Primary contact name GAI LORENZEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAI LORENZEN
PRESIDENT
12335 85TH AVENUE
PLEASANT PRAIRIE WI 53158

Officer/Director/Trustee Two

RON THOMAS
TREASURER
1429 GRANGE AVENUE
RACINE WI 53405

Officer/Director/Trustee Three

SHAREN PEASE
VICE PRESIDENT
1300 S GREEN BAY ROAD SUITE 102
RACINE WI 53406

Officer/Director/Trustee Four

CHERYL OBRIEN
SECRETARY
521 SIXTH STREET
RACINE WI 53403

Officer/Director/Trustee Five

PAMALA HANDROW
DIRECTOR
806 WISCONSIN AVENUE
RACINE WI 53403

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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