FORM 1023-EZ for KORDELL DVORACHEK MEMORIAL FUND INC

Field Data
EIN 46-3599190
Case Number EO-2018130-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KORDELL DVORACHEK MEMORIAL FUND INC
Organization’s Mailing Address 624 MILL STREET
City REEDSVILLE
State WI
ZIP 54230-9544
Accounting period End 12
Primary contact name PAMELA A MEISSNER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT DVORACHEK
PRESIDENT
624 MILL STREET
REEDSVILLE WI 54230-9544

Officer/Director/Trustee Two

REBECCA DVORACHEK
VICE-PRESIDENT
624 MILL STREET
REEDSVILLE WI 54230-9544

Officer/Director/Trustee Three

SEAN DVORACHEK
SECRETARY/TREASURER
624 MILL STREET
REEDSVILLE WI 54230-9544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/18
Organization Incorporation State WI
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 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 REBECCA DVORACHEK
Signature Title VICE-PRESIDENT
Signature Date 5/7/18

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