FORM 1023-EZ for REBIRTH MILWAUKEE INC

Field Data
EIN 82-2949393
Case Number EO-2017313-000048
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REBIRTH MILWAUKEE INC
Organization’s Mailing Address 9122 WEST WATERFORD SQUARE S
City GREENFIELD
State WI
ZIP 53228
Accounting period End 8
Primary contact name SHYRIDA LANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHYRIDA LANE
PRESIDENT
9122 WEST WATERFORD SQAURE SOUTH
GREENFIELD WI 53228

Officer/Director/Trustee Two

JANICE PICKETT
SECRETARY
PO BOX 242424
MILWAUKEE WI 53224

Officer/Director/Trustee Three

GEORGE HARRELL
TREASURER
21530 WEST LOCHLEVEN LANE
NEW BERLIN WI 53146

Organization’s website
Organization’s email REBIRTHMKE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
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
Signature Title
Signature Date

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