| Field | Data |
|---|---|
| EIN | 83-1539032 |
| Case Number | EO-2018241-000087 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTHEASTERN WISCONSIN PSYCHIATRY CARE CENTER INC |
| Organization’s Mailing Address | P O BOX 22035 |
| City | GREEN BAY |
| State | WI |
| ZIP | 54305 |
| Accounting period End | 12 |
| Primary contact name | BROOKE MASTROIANNI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ROBERT GOUTHRO
PRESIDENT
133 IROQUOIS AVE
GREEN BAY WI 54301
MICHAEL MEDICH
VICE PRESIDENT
2940 LUMBER LN
GREEN BAY WI 54313
BROOKE MASTROIANNI
SECRETARY/TREASURER
2329 SUNNY LN APT C
SUAMICO WI 54313
BONNIE KUHR
BOARD MEMBER
622 BODART ST
GREEN BAY WI 54301
TANESSA KLUG
BOARD MEMBER
N3145 DEER HAVEN CT
PESHTIGO WI 54157
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/21/18 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BROOKE MASTROIANNI |
| Signature Title | SECRETARY/TREASURER |
| Signature Date | 8/27/18 |
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