FORM 1023-EZ for DRIFTLESS AREA COMMUNITY SCHOOL

Field Data
EIN 84-2135362
Case Number EO-2019337-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DRIFTLESS AREA COMMUNITY SCHOOL
Organization’s Mailing Address 2415 COUNTY ROAD Z
City BLUE MOUNDS
State WI
ZIP 53517
Accounting period End 6
Primary contact name DANIEL ROTTINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL ROTTINGER
OFFICER
2415 COUNTY ROAD Z
BLUE MOUNDS WI 53517

Officer/Director/Trustee Two

LORI MIDTHUN
OFFICER
406 OAK STREET
MOUNT HOREB WI 53572

Organization’s website HTTPS://DRIFTLESSAREACOMMUNITYSCHOOL.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
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 DANIEL ROTTINGER
Signature Title OFFICER
Signature Date 12/1/19

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