FORM 1023-EZ for ON PURPOSE DANE INC

Field Data
EIN 82-0825338
Case Number EO-2017317-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ON PURPOSE DANE INC
Organization’s Mailing Address 5793 WILLIAMSBURG WAY
City FITCHBURG
State WI
ZIP 53719-1655
Accounting period End 12
Primary contact name MELISSA SCHOLZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA BAVERSTOCK
PRESIDENT/CEO DIRECTOR
5793 WILLIAMSBURG WAY
FITCHBURG WI 53719-1655

Officer/Director/Trustee Two

BRENT BAVERSTOCK
SECRETARY DIRECTOR
822 DRUMLIN DRIVE
OREGON WI 53575

Officer/Director/Trustee Three

KENT MCCUTCHEON
TREASURER DIRECTOR
701 SCOTT STREET
OREGON WI 53575

Officer/Director/Trustee Four

RENN SCOTT
DIRECTOR
3 WEST GILMAN STREET
MADISON WI 53703

Officer/Director/Trustee Five

SHERIFF DAVID MAHONEY
DIRECTOR
115 DOTY STREET
MADISON WI 53703

Organization’s website WWW.ONPURPOSEDANEINC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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 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
Signature Title
Signature Date

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