FORM 1023-EZ for SOUTH EAST WISCONSIN INCIDENT MANAGEMENT TEAM INC

Field Data
EIN 82-4894580
Case Number EO-2018113-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH EAST WISCONSIN INCIDENT MANAGEMENT TEAM INC
Organization’s Mailing Address 1621 WOODBURN ROAD
City WAUKESHA
State WI
ZIP 53188-7511
Accounting period End 12
Primary contact name PETER R JENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES LEY
PRESIDENT
3228 S 83RD STREET
MILWAUKEE WI 53219-3544

Officer/Director/Trustee Two

JIM BURNS
BOARD MEMBER
21825 W TOLBERT DR
NEW BERLINE WI 53146-5225

Officer/Director/Trustee Three

ROB SCHMIDT
BOARD MEMBER
6497 SUNSET DR
ALLENTOWN WI 53002-9788

Officer/Director/Trustee Four

ROBERT SWENARSKI
BOARD MEMBER
W3716 STATE RD 20
EAST TROY WI 53120-1703

Officer/Director/Trustee Five

KATHY SCHWEI
TEAM COORDINATOR
1110 S 124TH ST
WEST ALLIS WI 53214-2051

Organization’s website HTTPS://WWW.FACEBOOK.COM/SEWIINCIDENT.MANAGEMENT.TEAM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 Yes
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 KATHY SCHWEI
Signature Title TEAM COORDINATOR
Signature Date 4/19/18

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