FORM 1023-EZ for DRIFTWOOD COLLECTIVE CO

Field Data
EIN 47-4096708
Case Number EO-2015183-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRIFTWOOD COLLECTIVE CO
Organization’s Mailing Address 1285 BURNHAM AVE
City CALUMET CITY
State IL
ZIP 60409-5729
Accounting period End 5
Primary contact name JEFFREY ZIELINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY ZIELINSKI
PRESIDENT
1285 BURNHAM AVE
CALUMET CITY IL 60409-5729

Officer/Director/Trustee Two

TIMOTHY GROSSI
DIRECTOR OF OPERATIONS
17957 EXCHANGE AVE
LANSING IL 60438-2209

Officer/Director/Trustee Three

GERALD SCHLEITWILER
DIRECTOR
932 SPRUCE ST
HAMMOND IN 46324-1631

Organization’s website
Organization’s email JEFZIE212@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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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