FORM 1023-EZ for PT COMMUNITY CARING INC

Field Data
EIN 85-0608370
Case Number EO-2020118-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PT COMMUNITY CARING INC
Organization’s Mailing Address 915 MADISON STREET
City BEAVER DAM
State WI
ZIP 53916
Accounting period End 12
Primary contact name PAUL TOELLNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL TOELLNER
PRESIDENT/DIRECTOR
915 MADISON STREET
BEAVER DAM WI 53916

Officer/Director/Trustee Two

CHRIS GOOLD
TREASURER/DIRECTOR
915 MADISON STREET
BEAVER DAM WI 53916

Officer/Director/Trustee Three

JERICA GUETZKE
SECRETARY/DIRECTOR
915 MADISON STREET
BEAVER DAM WI 53916

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 PAUL TOELLNER
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/24/2020

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