FORM 1023-EZ for DL-GNA INC

Field Data
EIN 83-1848169
Case Number EO-2018260-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DL-GNA INC
Organization’s Mailing Address 500 N 1ST STREET SUITE 8000
City WAUSAU
State WI
ZIP 54403
Accounting period End 12
Primary contact name JOSEPH MELLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERMAN ROHLING
PRESIDENT
PO BOX 654
STRASBURG CO 80136

Officer/Director/Trustee Two

DUANE KRAFT
VICE PRESIDENT
13684 250TH AVE
TIMBER LAKE SD 57656

Officer/Director/Trustee Three

DEBRA MELLA
SECRETARY
2304 STARFLOWER LANE
WAUSAU WI 54401

Officer/Director/Trustee Four

JEFF TICHOTA
TREASURER
3018 E NICHOLS CR
CENTENIAL CO 80122-3462

Officer/Director/Trustee Five

CORTNEY SCHAEFER
BREED WARDEN
15353 W BINFIELD RD
WOOD RIVER NE 68883

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 DEBRA MELLA
Signature Title SECRETARY
Signature Date 9/13/18

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