FORM 1023-EZ for CROSSROAD OF WELL-BEING INC
| Field | Data |
|---|---|
| EIN | 82-0717580 |
| Case Number | EO-2017228-000313 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CROSSROAD OF WELL-BEING INC |
| Organization’s Mailing Address | 7906 W TOWNSEND STREET |
| City | MILWAUKEE |
| State | WI |
| ZIP | 53222-3831 |
| Accounting period End | 12 |
| Primary contact name | KOBLA TOMETY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KOBLA TOMETY
PRESIDENT
7906 W TOWNSEND STREET
MILWAUKEE WI 53222
Officer/Director/Trustee Three
KOSSI AMLALO
VICE PRESIDENT
9 MARVIN AVE
TROY NY 12180
Officer/Director/Trustee Four
ADJE BAHUN-WILSON
REPRESENTATIVE
7910 W POTOMAC AVE
MILWAUKEE WI 53222
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/29/2016 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: Yes Public Safety: Yes Amateur Sports: Yes Cruelty Prevention: Yes |
| 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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