LA CROSSE 
WISCONSIN 
City of La Crosse Human Rights Commission Complaint Form 
Click here to download a printable version of this form. 
COMPLAINANT INFORMATION (YOURSELF) 
Na me * 
Address * 
Phone 
Steven K Stack 
1222 fith street south 
6514486685 
Email stovestack2291@gmail.com 
RESPONDENT INFORMATION (PERSON/PERSON(S) YOU FEEL HAVE DISCRIMINATED AGAINST YOU) 
Na me * 
Address * 
Phone 
Email 
Savannah Gray 
702 9th street North 
TYPE OF DISCRIMINATION ALLEGED 
Check the appropriate Category, indicate the Address or Location of facility you were denied the equal 
opportunity to use or enjoy, and the Basis of the alleged discrimination. 
Applicants must he able to demonstrate that they were denied the equal use/enjoyment of a facility located 
in the City of La Crosse. 
Category: 
* t housing 
r Place of Public Accommodation or Amusement [I.e. restaurant, hotel, retail shop] 
C City Facility 
Address/Location; * 
702 9th street north in la crosse, Hi 54601 
Basis (Check all those 
you feel may apply): 
17 Sex 
3e Race 
3e Religion 
3e Age 
3g Disability 
3g Marital Status 
I— Color 
1- National Origin or Ancestry 
3r Lawful Source of Income 
3o Physical Appearance 
1— Sexual Orientation 
3o Gender Identity or Expression 
3o Political Activity 
3r Familial Status 
3r Domestic Partnership 
3o Student 
FACTS 
To the best of your ability, give a detailed statement regarding the facts giving rise to this Complaint. The statement must include the date or dates of the alleged 
discrimination. City Ordinance provides that a written Complaint must be filed within 180 days after the complainant knew or should reasonably have known 
that the alleged act or acts occurred. Additional pages may be attached to this form If necessary. 
Statement * 
!wanted to apply to rent at 702 9th street north In la cross°, IM and v.as told that females only are accepted. My basis for this 
discrimination complaint is based on photo evidence of the seller by first and last name and a direct photographed admiral of 
the statement that was discriminatory. 
Lehrke, Teri 
From: laserfiche@notices.cityoflacrosse.org 
Sent: Friday, August 7, 2020 8:11 PM 
To: stevestack2291@gmail.com 
Cc: ZZ City Clerk 
Subject: New Human Right Complaint from Steven K Stack v Gray 
Attachments: City of La Crosse Human Rights Commission Complain.pdf 
See Attached