FORM 1023-EZ for GOVERNORS DISTRICT ALLIANCE

Field Data
EIN 26-4264650
Case Number EO-2017044-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOVERNORS DISTRICT ALLIANCE
Organization’s Mailing Address 502 15TH STREET--PO BOX 250
City DALLAS CENTER
State IA
ZIP 50063
Accounting period End 12
Primary contact name BENJAMIN L ROUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN ROUSE
SECRETARY/DIRECTOR
PO BOX 250
DALLAS CENTER IA 50063

Officer/Director/Trustee Two

JOHN KOESTER
PRESIDENT/DIRECTOR
517 NW MORNINGSIDE
GRIMES IA 50111

Officer/Director/Trustee Three

STEVEN ROGERS
TREASURER/DIRECTOR
110 SE MAIN STREET
GRIMES IA 50111

Organization’s website HTTP://WWW.GOVERNORSDISTRICT.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2011
Organization Incorporation State IA
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 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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