FORM 1023-EZ for SIOUXPERMAN
| Field | Data |
|---|---|
| EIN | 47-4494703 |
| Case Number | EO-2018302-000189 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SIOUXPERMAN |
| Organization’s Mailing Address | 32 6TH STREET NORTHWEST |
| City | SIOUX CENTER |
| State | IA |
| ZIP | 51250 |
| Accounting period End | 12 |
| Primary contact name | BRIAN VAN ENGEN ATTORNEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JASON MOELLER
PRESIDENT
399 11TH AVE NE
SIOUX CENTER IA 51250
Officer/Director/Trustee Two
BRIAN VAN ENGEN
VICE PRESIDENT
32 6TH STREET NW
SIOUX CENTER IA 51250
Officer/Director/Trustee Three
JODIE WIELENGA
TREASURER
2127 RIDGE RD
SIOUX CENTER IA 51250
Officer/Director/Trustee Four
MAGGIE LANDEGENT
BOARD MEMBER
1392 8TH ST SE
SIOUX CENTER IA 51250
Officer/Director/Trustee Five
TIM BAJEMA
BOARD MEMBER
546 11TH AVE NE
SIOUX CENTER IA 51250
| Organization’s website | HTTP://WWW.SIOUXPERMAN.COM |
|---|---|
| Organization’s email | SIOUXPERMANTRI@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/7/14 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N70 - Amateur Sports Competitions |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes Literary: Yes 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 | JASON MOELLER |
| Signature Title | PRESIDENT |
| Signature Date | 10/25/18 |
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