FORM 1023-EZ for REPRESENT INC

Field Data
EIN 46-3887008
Case Number EO-2018241-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REPRESENT INC
Organization’s Mailing Address 117 WEST WALKER STREET SUITE 310
City MILWAUKEE
State WI
ZIP 53204-1889
Accounting period End 12
Primary contact name CLAUDINE OLEARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDINE OLEARY
DIRECTOR
117 WEST WALKER STREET SUITE 310
MILWAUKEE WI 53204-1889

Officer/Director/Trustee Two

TIA MEDLEY
DIRECTOR
117 WEST WALKER STREET SUITE 310
MILWAUKEE WI 53204-1889

Officer/Director/Trustee Three

TIFFANY WILHELM
DIRECTOR
117 WEST WALKER STREET SUITE 310
MILWAUKEE WI 53204-1889

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/18
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 Yes
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 CLAUDINE OLEARY
Signature Title DIRECTOR
Signature Date 8/27/18

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