FORM 1023-EZ for LARCHWOOD ECONOMIC DEVELOPMENT FOUNDATION INC

Field Data
EIN 47-5651039
Case Number EO-2016125-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LARCHWOOD ECONOMIC DEVELOPMENT FOUNDATION INC
Organization’s Mailing Address 1033 HOLDER STREET
City LARCHWOOD
State IA
ZIP 51241
Accounting period End 12
Primary contact name NOAH KERKVLIET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD BURWITZ
DIRECTOR
PO BOX 396
LARCHWOOD IA 51241

Officer/Director/Trustee Two

KENNETH KERKVLIET
DIRECTOR
925 HYLAND DRIVE
LARCHWOOD IA 51241

Officer/Director/Trustee Three

NOAH KERKVLIET
DIRECTOR
1015 EDGERLY STREET
LARCHWOOD IA 51241

Officer/Director/Trustee Four

TERRY GROTEWOLD
DIRECTOR
813 CHURCHILL DRIVE
LARCHWOOD IA 51241

Officer/Director/Trustee Five

VIRGINIA SCANNELL
DIRECTOR
837 HYLAND DRIVE
LARCHWOOD IA 51241

Organization’s website
Organization’s email NOAH@RATHRENS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2015
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: Yes
Scientific: Yes
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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