FORM 1023-EZ for SOUTH SHORE FIREFIGHTERS CHARITIESINC

Field Data
EIN 46-3418774
Case Number EO-2015043-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH SHORE FIREFIGHTERS CHARITIESINC
Organization’s Mailing Address 3900 OLD GREEN BAY RD
City RACINE
State WI
ZIP 53406
Accounting period End 12
Primary contact name TRAVIS CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRAVIS CARLSON
PRESIDENT
W237S5575 MAPLE HILL DR
WAUKESHA WI 53189-9687

Officer/Director/Trustee Two

JAMES DAVIS
VICE-PRESIDENT
1161 EAST ELM RD
OAK CREEK WI 53154-6479

Officer/Director/Trustee Three

JOSEPH KREFFT
SECRETARY/TREASURER
23501 82 ST
SALEM WI 53168-9002

Officer/Director/Trustee Four

JASON BOISSONNAULT
DIRECTOR
333 MERRIE LN
RACINE WI 53405-2027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 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 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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