FORM 1023-EZ for COMPASSIONATE COMMUNITY FAITH ALLIANCE INCORPORATED

Field Data
EIN 81-3014958
Case Number EO-2016187-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMPASSIONATE COMMUNITY FAITH ALLIANCE INCORPORATED
Organization’s Mailing Address POST OFFICE BOX 1211
City LA CROSSE
State WI
ZIP 54602-1211
Accounting period End 12
Primary contact name MAUREEN FREEDLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN DAVID
PRESIDENT
2318 - 32ND STREET SOUTH
LA CROSSE WI 54601

Officer/Director/Trustee Two

MYRON DAUBERT
CO-VICE PRESIDENT
E794 RIVERVIEW LANE
GENOA WI 54632

Officer/Director/Trustee Three

MAUREEN FREEDLAND
CO-VICE PRESIDENT
2641 SCHUBERT PLACE
LA CROSSE WI 54601

Officer/Director/Trustee Four

BARBARA RUSTERHOLZ
SECRETARY
138 SOUTH 17TH PLACE
LA CROSSE WI 54601

Officer/Director/Trustee Five

MARGARET BLUSKE
TREASURER
1919 LA CRESCENT COURT
LA CROSSE WI 54603

Organization’s website
Organization’s email CCFAITHALLIANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 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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