FORM 1023-EZ for THOMAS CARTER REHABILITATION HOMESINC

Field Data
EIN 82-4685459
Case Number EO-2018208-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THOMAS CARTER REHABILITATION HOMESINC
Organization’s Mailing Address 11414 WEST PARK PLACE 202
City MILWAUKEE
State WI
ZIP 53224
Accounting period End 12
Primary contact name LATON SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATON SMITH
PRESIDENT
11414 WEST PARK PLACE 202
MIL;WAUKEE WI 53224

Officer/Director/Trustee Two

DATONE SMITH
VICE PRESIDENT
11414 WEST PARK PLACE 202
MILWAUKEE WI 53224

Officer/Director/Trustee Three

RONALD HENDREE
CONSULTANT
12128 WEST BELOIT ROAD
GREENFIELD WI 53228

Organization’s website
Organization’s email LATONSMITH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 RONALD HENDREE
Signature Title CONSULTANT
Signature Date 7/25/18
EIN 82-4685459
Case Number EO-2018208-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THOMAS CARTER REHABILITATION HOMES INC
Organization’s Mailing Address 11414 WEST PARK PLACE 202
City MILWAUKEE
State WI
ZIP 53224
Accounting period End 12
Primary contact name LATON SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATON SMITH
PRESIDENT
11414 WEST PARK PLACE 202
MIL;WAUKEE WI 53224

Officer/Director/Trustee Two

DATONE SMITH
VICE PRESIDENT
11414 WEST PARK PLACE 202
MILWAUKEE WI 53224

Officer/Director/Trustee Three

RONALD HENDREE
CONSULTANT
12128 WEST BELOIT ROAD
GREENFIELD WI 53228

Organization’s website
Organization’s email LATONSMITH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 RONALD HENDREE
Signature Title CONSULTANT
Signature Date 7/25/18

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