FORM 1023-EZ for ELIMINATE DRUNK DRIVING EDUCATION FOUNDATION INC

Field Data
EIN 82-2409113
Case Number EO-2017222-000435
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELIMINATE DRUNK DRIVING EDUCATION FOUNDATION INC
Organization’s Mailing Address 100 MCKAY WAY
City WATERLOO
State WI
ZIP 53594
Accounting period End 12
Primary contact name MARLA HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLA HALL
PRESIDENT
443 BRADFORD DRIVE
WATERLOO WI 53594

Officer/Director/Trustee Two

CARALEE BUTZINE
VICE PRESIDENT
100 MCKAY WAY
WATERLOO WI 53594

Officer/Director/Trustee Three

CARL BUTZINE
TREASURER
100 MCKAY WAY
WATERLOO WI 53594

Officer/Director/Trustee Four

HARRY HANEY
DIRECTOR
1945 WALLINFORD CIRCLE
SUN PRAIRIE WI 53590

Officer/Director/Trustee Five

JEFF PIETERICK
DIRECTOR
2465 NOEL COURT
OSHKOSH WI 54904

Organization’s website WWW.ELIMINATEDRUNKDRIVING.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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
Signature Title
Signature Date

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