FORM 1023-EZ for SEGUE RACINE INCORPORATED

Field Data
EIN 81-2084387
Case Number EO-2016097-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEGUE RACINE INCORPORATED
Organization’s Mailing Address 3117 LATHROP AVENUE
City RACINE
State WI
ZIP 53405
Accounting period End 12
Primary contact name GAI LORENZEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WARREN WILLIAMS
PRESIDENT
251 INDIANA STREET
MOUNT PLEASANT WI 53406

Officer/Director/Trustee Two

JOANNIE WILLIAMS
SECRETARY
251 INDIANA STREET
MOUNT PLEASANT WI 53406

Officer/Director/Trustee Three

PAT LIESCH
TREASURER
5820 NICHOLSON ROAD
FRANKSVILLE WI 53126

Officer/Director/Trustee Four

HOLLY ANDERLE
VICE PRESIDENT
2409 GREEN HAZE
MOUNT PLEASANT WI 53406

Officer/Director/Trustee Five

TERESA REINDERS
DIRECTOR
912 BLAINE AVENUE
RACINE WI 53405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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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