FORM 1023-EZ for KENOSHA POLICE OFFICERS CHARITIES INC

Field Data
EIN 83-1038420
Case Number EO-2018213-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENOSHA POLICE OFFICERS CHARITIES INC
Organization’s Mailing Address 1213-55TH STREET
City KENOSHA
State WI
ZIP 53140
Accounting period End 12
Primary contact name ERIK GUTTORMSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER DEATES
DIRECTOR
1213 55TH STREET SUITE 201
KENOSHA WI 53140

Officer/Director/Trustee Two

JASON MELICHAR
DIRECTOR
8105 46TH AVENUE
KENOSHA WI 53142

Officer/Director/Trustee Three

JAMES KENDALL
DIRECTOR
3128 55TH AVENUE
KENOSHA WI 53144

Officer/Director/Trustee Four

TIM CONNOLLY
DIRECTOR
4918 18TH STREET
KENOSHA WI 53144

Officer/Director/Trustee Five

MIKE ENGEL
DIRECTOR
2111 46TH AVENUE
KENOSHA WI 53144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 PETER DEATES
Signature Title DIRECTOR
Signature Date 7/30/18

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