FORM 1023-EZ for GATEWAY TO THE DRIFTLESS INC

Field Data
EIN 82-5074137
Case Number EO-2018099-000012
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GATEWAY TO THE DRIFTLESS INC
Organization’s Mailing Address PO BOX 425
City BLACK EARTH
State WI
ZIP 53515
Accounting period End 6
Primary contact name CHRISTOPHER LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN SWANSON
CHAIR DIRECTOR
2007 SYLVIA PINE WAY
CROSS PLAINS WI 53528

Officer/Director/Trustee Two

PETER ANTONIE
VICE-CHAIR DIRECTOR
4579 BLUE MOUNDS TRAIL
BLACK EARTH WI 53515

Officer/Director/Trustee Three

CHRISTOPHER LONG
EXECUTIVE DIRECTOR DIRECTOR
5460 REEVE ROAD
MAZOMANIE WI 53560

Organization’s website WWW.GATEWAYTOTHEDRIFTLESS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 CHRISTOPHER LONG
Signature Title EXECUTIVE DIRECTOR DIRECTOR
Signature Date 4/7/18

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