FORM 1023-EZ for ELKHORN AREA SCHOOL DISTRICT EDUCATION FOUNDATION

Field Data
EIN 83-2124650
Case Number EO-2018282-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELKHORN AREA SCHOOL DISTRICT EDUCATION FOUNDATION
Organization’s Mailing Address 3 NORTH JACKSON STREET
City ELKHORN
State WI
ZIP 53121
Accounting period End 1
Primary contact name JASON TADLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON TADLOCK
BOARD MEMBER, OFFICER
3 N JACKSON STREET
ELKHORN WI 53121

Officer/Director/Trustee Two

DAVID GEE
BOARD MEMBER, OFFICER
N 7714 LAURA LANE
ELKHORN WI 53121

Officer/Director/Trustee Three

JON ANZALONE
BOARD MEMBER, OFFICER
4820 BRIGGS ROAD
ELKHORN WI 53121

Officer/Director/Trustee Four

TOM FRANK
BOARD MEMBER, OFFICER
1521 GENEVA CLUB DRIVE
LAKE GENEVA WI 53147

Officer/Director/Trustee Five

JENNIFER LEE
BOARD MEMBER, OFFICER
161 NORTH WILD FLOWER LANE
ELKHORN WI 53121

Organization’s website
Organization’s email EASDFOUNDATION@ELKHORN.K12.WI.US
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASON TADLOCK
Signature Title BOARD MEMBER
Signature Date 10/5/18

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