FORM 1023-EZ for HISTORIC RANDALL PARK NEIGHBORHOOD REVITALIZATION CORPORATION

Field Data
EIN 82-0988125
Case Number EO-2017100-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORIC RANDALL PARK NEIGHBORHOOD REVITALIZATION CORPORATION
Organization’s Mailing Address 320 BROADWAY STREET
City EAU CLAIRE
State WI
ZIP 54701
Accounting period End 12
Primary contact name TERRI STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BARNES
CHAIR
420 FOURTH AVE
EAU CLAIRE WI 54703

Officer/Director/Trustee Two

HELENE SMIAR
SECRETARY
320 BROADWAY ST
EAU CLAIRE WI 54703

Officer/Director/Trustee Three

JEFF DEGRAVE
TREASURER
133 LAKE ST
EAU CLAIRE WI 54703

Officer/Director/Trustee Four

LAUREN LIERMAN
BOARD MEMBER
719 FOURTH AVE
EAU CLAIRE WI 54703

Officer/Director/Trustee Five

MARK GIDEONSON
BOARD MEMBER
520 SECOND AVE
EAU CLAIRE WI 54703

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L25 - Housing Rehabilitation
Organization’s purpose Charitable: Yes
Religious: No
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 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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