FORM 1023-EZ for DYLANS DEN CORPORATION

Field Data
EIN 81-5236348
Case Number EO-2017222-000516
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DYLANS DEN CORPORATION
Organization’s Mailing Address 1508 JOHNSON STREET
City NEILLSVILLE
State WI
ZIP 54456
Accounting period End 12
Primary contact name MANDY KREJCI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUZI BREIT
PRESIDENT
129 WEST AVE
STRATFORD WI 54484

Officer/Director/Trustee Two

KATIE ELMHORST
TRESURE
300 COURT STREET
NEILLSVILLE WI 54456

Officer/Director/Trustee Three

MANDY KREJCI
VICE PRESIDENT
1508 JOHNSON STREET
NEILLSVILLE WI 54456

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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