FORM 1023-EZ for ADAPTIVE COMMUNITIES INC

Field Data
EIN 82-2733195
Case Number EO-2018305-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAPTIVE COMMUNITIES INC
Organization’s Mailing Address 518 SOUTH 17TH AVENUE
City WAUSAU
State WI
ZIP 54401-5201
Accounting period End 12
Primary contact name KATIE NORMAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATIE NORMAND
DIRECTOR
3833 CARL ST
WAUSAU WI 54403

Officer/Director/Trustee Two

ANISSA WALTER
CO-DIRECTOR
T8898 CAMP CREEK ROAD
WAUSAU WI 54403

Officer/Director/Trustee Three

SENG JENG THAO
ASSISTANT
6206 JACKLYN ROAD
WESTON WI 54476

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 KATIE NORMAND
Signature Title DIRECTOR
Signature Date 10/30/18

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