FORM 1023-EZ for ALBINISM COMMUNITY INC

Field Data
EIN 83-1259036
Case Number EO-2018204-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALBINISM COMMUNITY INC
Organization’s Mailing Address 3513 E SQUIRE AVE
City CUDAHY
State WI
ZIP 53110
Accounting period End 12
Primary contact name PHILLIP MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP MASON
PRESIDENT
3513 E SQUIRE AVE
CUDAHY WI 53110

Officer/Director/Trustee Two

ANDREW SARTORIUS
TREASUER
PLEASE COMPLETE
JEFFERSON CITY MO 12345

Officer/Director/Trustee Three

SILPA TADAVARTHY
SECRETARY
3513 E SQUIRE AVE
CUDAHY WI 53110

Organization’s website ALBINISMCOUMMUNITY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 PHILLIP MASON
Signature Title PRESIDENT
Signature Date 7/19/18

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