| Field | Data |
|---|---|
| EIN | 84-3459270 |
| Case Number | EO-2020069-000204 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SOUTH CENTRAL REGIONAL TRAUMA ADVISORY COUNCIL INC |
| Organization’s Mailing Address | 1675 HIGHLAND AVE |
| City | MADISON |
| State | WI |
| ZIP | 53792 |
| Accounting period End | 6 |
| Primary contact name | BENJAMIN EITHUN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DAN WILLIAMS
COORDINATOR & DIRECTOR
1675 HIGHLAND AVE
MADISON WI 53792
BEN EITHUN
CHAIRPERSON & DIRECTOR
5580 CHERYL DRIVE
FITCHBURG WI 53711
HEATHER POKER
VICE-CHAIRPERSON & DIRECTOR
700 SOUTH PARK STREET
MADISON WI 53715
CHRIS STAHMER MD
DIRECTOR
700 SOUTH PARK STREET
MADISON WI 53715
JONATHAN KOHLER
DIRECTOR
1675 HIGHLAND AVE
MADISON WI 53792
| Organization’s website | HTTPS://WWW.SCRTAC.ORG/ |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/21/2019 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E02 - Management & Technical Assistance |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | BEN EITHUN |
| Signature Title | CHAIRPERSON & DIRECTOR |
| Signature Date | 3/5/2020 |
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