FORM 1023-EZ for LIFE CAMP MKE INC

Field Data
EIN 85-3238382
Case Number EO-2021063-000520
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE CAMP MKE INC
Organization’s Mailing Address 6900 W MILL RD
City MILWAUKEE
State WI
ZIP 53218
Accounting period End 7
Primary contact name ALLISON MALONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLISON MALONE
PRESIDENT
8636 S ROXBURY WAY
OAK CREEK WI 53154

Officer/Director/Trustee Two

QUENTIEL JAMERSON
VICE PRESIDENT
5441 N 24TH ST
GLENDALE WI 53209

Officer/Director/Trustee Three

DION SAFFOLD
TREASURER
6900 W MILL RD
MILWAUKEE WI 53218

Officer/Director/Trustee Four

VERAUNICA RUFFIN
SECRETARY
9160 N BRANDYBROOK TRAIL
BROWN DEER WI 53223

Organization’s website
Organization’s email LIFECAMPMKE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 ALLISON MALONE
Signature Title PRESIDENT
Signature Date 12/29/2020

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