FORM 1023-EZ for DIRECT CARE

Field Data
EIN 86-1699956
Case Number EO-2021081-000922
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIRECT CARE
Organization’s Mailing Address 11805 WEST HAMPTON AVE STE 103
City MILWAUKEE
State WI
ZIP 53225
Accounting period End 12
Primary contact name NICOLE GOINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DETRA FERGUSON
PRESIDENT
11805 WEST HAMPTON STE 103
MILWAUKEE WI 53225

Officer/Director/Trustee Two

KASHES BENDER
VICE PRESIDENT
11805 W HAMPTON AVE STE 102
MILWAUKEE WI 53225

Officer/Director/Trustee Three

NICOLE GOINS
SECRETARY
2957 NORTH SHERMAN BLVD
MILWAUKEE WI 53210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 NICOLE GOINS
Signature Title SECRETARY
Signature Date 1/26/2021

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