FORM 1023-EZ for MENS RESOURCE CENTER OF GREEN COUNTY

Field Data
EIN 81-5088588
Case Number EO-2017027-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENS RESOURCE CENTER OF GREEN COUNTY
Organization’s Mailing Address 800 30TH STREET
City MONROE
State WI
ZIP 53566
Accounting period End 12
Primary contact name RICHARD W GLEASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD GLEASON
PRESIDENT
N796 OAKLEY ROAD
JUDA WI 53550

Officer/Director/Trustee Two

DAN KRAHENBUHL
VICE PRESIDENT
2613 8TH AVE
MONROE WI 53566

Officer/Director/Trustee Three

WILLIAM HOLLAND
SECRETARY
W6767 POND VIEW ROAD
MONROE WI 53566

Officer/Director/Trustee Four

JON ROHLOFF
TREASURER
800 30TH STREET
MONROE WI 53566

Organization’s website
Organization’s email MRCOFGC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 Yes
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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