FORM 1023-EZ for QUASIMONDO MILWAUKEE PHYSICAL THEATRE

Field Data
EIN 46-3010029
Case Number EO-2016117-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUASIMONDO MILWAUKEE PHYSICAL THEATRE
Organization’s Mailing Address 612 FAIRVIEW AVENUE
City SOUTH MILWAUKEE
State WI
ZIP 53172
Accounting period End 12
Primary contact name BRIAN ROTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN ROTT
PRESIDENT
2636 N BUFFUM ST
MILWAUKEE WI 53212

Officer/Director/Trustee Two

JENNIFER REINKE
VICE PRESIDENT
2801 N BREMEN ST
MILWAUKEE WI 53212

Officer/Director/Trustee Three

MICHAEL BELL
TREASURER
612 FAIRVIEW AVENUE
SOUTH MILWAUKEE WI 53172

Officer/Director/Trustee Four

ANDY WALSH
BOARD MEMBER
2981 S WENTWORTH AVE
MILWAUKEE WI 53207

Officer/Director/Trustee Five

ERIN EGGERS
BOARD MEMBER
2636 N BUFFUM ST
MILWAUKEE WI 53212

Organization’s website WWW.THEQUASIMONDO.COM
Organization’s email INFO@THEQUASIMONDO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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