FORM 1023-EZ for CARING HEARTS OF WEST CENTRAL IOWA

Field Data
EIN 87-1537128
Case Number EO-2021244-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARING HEARTS OF WEST CENTRAL IOWA
Organization’s Mailing Address PO BOX 584
City CARROLL
State IA
ZIP 51401
Accounting period End 6
Primary contact name LOUANN MOWREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH BRUNING
PRESIDENT
3836 UNION AVE
BREDA IA 51436

Officer/Director/Trustee Two

KAREN BLUM
VICE PRESIDENT
307 N MAIN ST
HALBUR IA 51444

Officer/Director/Trustee Three

SHARI KIES
SECRETARY
423 ASH AVE
LAKE VIEW IA 51450

Officer/Director/Trustee Four

JEREMY BENNETT
MEMBER
3108 248TH TRAIL
PANORA IA 50216

Officer/Director/Trustee Five

LOUANN MOWREY
EXECUTIVE DIRECTOR
PO BOX 584
CARROLL IA 51401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 Yes
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 LOUANN MOWREY
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/30/2021

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