FORM 1023-EZ for DYERSVILLE SPORTSMAN CLUB IMPROVEMENT FUND

Field Data
EIN 47-4941818
Case Number EO-2015254-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DYERSVILLE SPORTSMAN CLUB IMPROVEMENT FUND
Organization’s Mailing Address 229 1ST AVE E
City DYERSVILLE
State IA
ZIP 52040
Accounting period End 12
Primary contact name JUDE MILBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AL BECKER
PRESIDENT
2275 310TH AVE
EARVILLE IA 52041

Officer/Director/Trustee Two

DENNIS JASPER
SEC./TREAS.
2613 212TH AVE
DELHI IA 52223

Officer/Director/Trustee Three

DAVE OLBERDING
DIRECTOR
317 4TH AVE
DYERSVILLE IA 52040

Officer/Director/Trustee Four

MARTY BOGE
DIRECTOR
2543 300 30TH AVE
WORTHINGTON IA 52078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 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 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
Signature Title
Signature Date

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