FORM 1023-EZ for COMMUNITY COLLECTIVE INC

Field Data
EIN 81-2623928
Case Number EO-2016357-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY COLLECTIVE INC
Organization’s Mailing Address 3166 N 41ST STREET
City MILWAUKEE
State WI
ZIP 53216
Accounting period End 5
Primary contact name CHARVONNE CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARVONNE CARLSON
PRESIDENT
3166 N 41ST STREET
MILWAUKEE WI 53216

Officer/Director/Trustee Two

GISELLE SMITH
VICE PRESIDENT
PO BOX 454
WILLINGBORO NJ 08406

Officer/Director/Trustee Three

CHRISTINE JACKSON
TREASURER
2415 S LOGAN
MILWAUKEE WI 53207

Officer/Director/Trustee Four

MARIE CARLSON
SECRETARY
3166 N 41ST STREET
MILWAUKEE WI 53216

Organization’s website N/A
Organization’s email COMMUNITYCOLLECTIVEWI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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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