FORM 1023-EZ for WILSON BREWER PARK DEPOT FOUNDATION

Field Data
EIN 47-3604405
Case Number EO-2016138-000011
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILSON BREWER PARK DEPOT FOUNDATION
Organization’s Mailing Address 625 BANK STREET
City Webster City
State IA
ZIP 50595
Accounting period End 12
Primary contact name KENT HARFST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY GROVES
PRESIDENT
805 DES MOINES STREET
WEBSTER CITY IA 50595

Officer/Director/Trustee Two

LAURIE GRAHAM
DIRECTOR
606 MIDDLE STREET
WEBSTER CITY IA 50595

Officer/Director/Trustee Three

BETTY EILERS
DIRECTOR
1619 LOCUST STREET APT 107
WEBSTER CITY IA 50595

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2004
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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