FORM 1023-EZ for UNLEASHED PHOENIX CORP

Field Data
EIN 85-3997642
Case Number EO-2021039-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNLEASHED PHOENIX CORP
Organization’s Mailing Address 9233 JACKSON PARK BLVD
City WAUWATOSA
State WI
ZIP 53226
Accounting period End 12
Primary contact name TIMOTHY YOUNG EAGLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARI DEBRAAL
DIRECTOR
3775 E DALE AVENUE
CUDAHY WI 53110

Officer/Director/Trustee Two

SAM GOEB
PRESIDENT
4840 S 199TH STREET
GREENFIELD WI 53228

Officer/Director/Trustee Three

LYNNE STEFFEN
TREASURER
3200 N 95TH STREET
MILWAUKEE WI 53222

Officer/Director/Trustee Four

CHUCK MOORE
DIRECTOR
3019 NESSLING STREET
MADISON WI 53719

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHUCK MOORE
Signature Title DIRECTOR
Signature Date 12/21/2020

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