| Field | Data |
|---|---|
| EIN | 81-1456972 |
| Case Number | EO-2017194-000348 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AUTUMN LEAVES ASSISTED LIVING ESTATES INC |
| Organization’s Mailing Address | 1515 LLOYD STREET |
| City | CUMBERLAND |
| State | WI |
| ZIP | 54829 |
| Accounting period End | 12 |
| Primary contact name | LAVERNE WENGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LESTER JOHNSON
DIRECTOR
1989 7TH STREET
CUMBERLAND WI 54829
KEN WENGER
DIRECTOR
708 16TH AVENUE
ALMENA WI 54805
MELVIN WIEBE
DIRECTOR
1316 6TH STREET
ALMENA WI 54805
RANDY TOEWS
DIRECTOR
813 16TH AVENUE
ALMENA WI 54805
RICHARD KOEHN
DIRECTOR
737 15TH AVENUE
ALMENA WI 54805
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/5/2016 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L22 - Senior Citizens' Housing/Retirement Communities |
| 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 | Yes |
| 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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