FORM 1023-EZ for SIOUX CITY TABLETOP GAMERS

Field Data
EIN 86-3265613
Case Number EO-2021118-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIOUX CITY TABLETOP GAMERS
Organization’s Mailing Address 3814 RIDGE AVE
City SIOUX CITY
State IA
ZIP 51106
Accounting period End 12
Primary contact name DAVID WATCHORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BART MILLER
PRESIDENT
3814 RIDGE AVE
SIOUX CITY IA 51106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
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 Yes
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 BART MILLER
Signature Title PRESIDENT
Signature Date 4/27/2021

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