FORM 1023-EZ for JACKSONS HOUSE MILWAUKEE INC

Field Data
EIN 85-0832680
Case Number EO-2020224-000488
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSONS HOUSE MILWAUKEE INC
Organization’s Mailing Address 2812 NORTH 5TH STREET APT 504
City MILWAUKEE
State WI
ZIP 53212
Accounting period End 12
Primary contact name CRISSI BATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRISSI BATES
PRESIDENT/DIRECTOR
2812 NORTH 5TH STREET APT 504
MILWAUKEE WI 53212

Officer/Director/Trustee Two

DEBORAH WHITE
TREASURER
5142 NORTH 68TH STREET
MILWAUKEE MI 53218

Officer/Director/Trustee Three

WARLEAN STONE
SECRETARY
4172 NORTH 51ST BLVD
MILWAUKEE WI 53219

Officer/Director/Trustee Four

GWENTTA CULLINS
DIRECTOR
2648 NORTH 48TH STREET
MILWAUKEE WI 53210

Organization’s website HTTPS://WWW.JACKSONHOUSEMILWAUKEE.COM
Organization’s email JACKSONHOUSEMILWAUKEE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S11 - Single Organization Support
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 Yes
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 CRISSI BATES
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/7/2020

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