FORM 1023-EZ for MOMMA SANCTUARY INC

Field Data
EIN 81-4472383
Case Number EO-2019284-000598
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMMA SANCTUARY INC
Organization’s Mailing Address 4121 N 20TH STREET
City MILWAUKEE
State WI
ZIP 53209
Accounting period End 12
Primary contact name REGENA EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGENA EVANS
PRESIDENT/CEO
4121 N 20TH STREET
MILWAUKEE WI 53209

Officer/Director/Trustee Two

NINA DAVIS
BOARD MEMBER
3361 N 39TH STREET
MILWAUKEE WI 53216

Officer/Director/Trustee Three

REGGIE HAYES
BOARD MEMBER
4092 N 6TH STREET
MILWAUKEE WI 53212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/16
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REGENA EVANS
Signature Title PRESIDENT/CEO
Signature Date 10/9/19
EIN 81-4472383
Case Number EO-2017039-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMMA SANCTUARY INC
Organization’s Mailing Address 4121 N 20TH STREET
City MILWAUKEE
State WI
ZIP 53209
Accounting period End 12
Primary contact name LINSTON YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGENA EVANS
CHAIRPERSON
5382 N 66TH STREET
MILWAUKEE WI 53218

Officer/Director/Trustee Two

REGGIE HAYES
VICE CHAIRPERSON
4092 N 6TH STREET
MILWAUKEE WI 53212

Officer/Director/Trustee Three

ORLANDO BUTLER
TREASURER
4409 W GARFIELD AVE
MILWAUKEE WI 53208

Officer/Director/Trustee Four

LINSTON YOUNG
SECRETARY
2639 N 48TH STREET
MILWAUKEE WI 53210

Organization’s website
Organization’s email MOMMASANCTUAR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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
Signature Title
Signature Date

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