FORM 1023-EZ for DANE COUNTY DIAPER BANK INC

Field Data
EIN 83-1027174
Case Number EO-2018211-000434
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DANE COUNTY DIAPER BANK INC
Organization’s Mailing Address 1104 ACKER LANE
City VERONA
State WI
ZIP 53593
Accounting period End 12
Primary contact name THOMAS W MONIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN SOLLENBERGER
PRESIDENT AND DIRECTOR
1104 ACKER LANE
VERONA WI 53593

Officer/Director/Trustee Two

BLAKE SOLLENBERGER
VP AND TREASURER AND DIRECTOR
1104 ACKER LANE
VERONA WI 53593

Officer/Director/Trustee Three

ASHLEY LOCKE
SECRETARY AND DIRECTOR
1104 ACKER LANE
VERONA WI 53593

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 MEGAN SOLLENBERGER
Signature Title PRESIDENT AND DIRECTOR
Signature Date 7/27/18

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