FORM 1023-EZ for FORE HUMANITY CLUB OF GREATER RACINE INC

Field Data
EIN 37-1745754
Case Number EO-2014237-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORE HUMANITY CLUB OF GREATER RACINE INC
Organization’s Mailing Address 1516 WEST 6TH STREET
City RACINE
State WI
ZIP 53404
Accounting period End 12
Primary contact name ATTY C JUDLEY WYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

Q A SHAKOOR II
PRESIDENT
1516 WEST 6TH STREET
RACINE WI 53403

Officer/Director/Trustee Two

CHARLES BEADLES
VICE PRESIDENT
1120 WEST COLONIAL DR
RACINE WI 53405

Officer/Director/Trustee Three

JOHNNY HARRELL
TREASURER
3321 ILLINOIS ST
RACINE WI 53405

Officer/Director/Trustee Four

EDWARD DAY
SECRETARY
3528 DICHESS DR
RACINE WI 53405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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