FORM 1023-EZ for BRCW HOME HEALTH CARE INC

Field Data
EIN 82-2767191
Case Number EO-2017300-000101
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRCW HOME HEALTH CARE INC
Organization’s Mailing Address 1824 SOUTH LAYTON BLVD
City MILWAUKEE
State WI
ZIP 53215
Accounting period End 12
Primary contact name ANDREW TRUMBULL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANUWAR KASIM
PRESIDENT
1824 SOUTH LAYTON BLVD
MILWAUKEE WI 53215

Officer/Director/Trustee Two

ABDUL HAMID
TREASURER
1824 SOUTH LAYTON BLVD
MILWAUKEE WI 53215

Officer/Director/Trustee Three

ANDREW TRUMBULL
SECRETARY
1824 SOUTH LAYTON BLVD
MILWAUKEE WI 53215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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
Signature Title
Signature Date

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