FORM 1023-EZ for D11SC INC

Field Data
EIN 47-3303385
Case Number EO-2015069-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name D11SC INC
Organization’s Mailing Address 5144 WILLIAMS RD
City HARTFORD
State WI
ZIP 53027
Accounting period End 3
Primary contact name CYNTHIA SCHELLINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDITH KRUEGER
CHAIRPERSON
5985 DIVISION RD
WEST BEND WI 53095

Officer/Director/Trustee Two

JENNIFER SCHULTEIS
PRESIDENT
1417 HUMMINGBIRD CT
WEST BEND WI 53090

Officer/Director/Trustee Three

BARBARA SAUER
SECRETARY
647 HIGHVIEW DR
SLINGER WI 53086

Officer/Director/Trustee Four

CYNTHIA SCHELLINGER
TREASURER
1199 KERECHUN RD
HUBERTUS WI 53033

Officer/Director/Trustee Five

CONSTANCE BREUER
DIRECTOR
7188 HWY W
WEST BEND WI 53090

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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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