FORM 1023-EZ for HAASE COMMUNITY CONNECTIONS INC

Field Data
EIN 85-0958153
Case Number EO-2020147-000535
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAASE COMMUNITY CONNECTIONS INC
Organization’s Mailing Address 312 ROBERTS DRIVE
City MUKWONAGO
State WI
ZIP 53149
Accounting period End 12
Primary contact name JEANNE KERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNE KERN
PRESIDENT
2177 S RIDGEWAY DRIVE
NEW BERLIN WI 53146

Officer/Director/Trustee Two

YVONNE SIIRA
TREASURER
1500 W LOIS LANE
OAK CREEK WI 53154

Officer/Director/Trustee Three

JULIE SCHEIBE
SECRETARY
W399 S10875 CONNOR DRIVE
EAGLE WI 53119

Officer/Director/Trustee Four

STEVE VOCK
BOARD MEMBER
105 OAKWOOD LANE
NORTH PRAIRIE WI 53153

Officer/Director/Trustee Five

JUDITH WEYER
BOARD MEMBER
1300 RIVERTON DRIVE
MUKWONAGO WI 53149

Organization’s website
Organization’s email HCC.WI.16@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: No
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 Yes
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 JEANNE KERN
Signature Title PRESIDENT
Signature Date 5/22/2020

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