FORM 1023-EZ for QC HOMEBASE

Field Data
EIN 87-2211063
Case Number EO-2021267-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QC HOMEBASE
Organization’s Mailing Address 2934 EAST 44TH COURT
City DAVENPORT
State IA
ZIP 52807
Accounting period End 12
Primary contact name KATHLEEN ARGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN ARGO
PRESIDENT
2934 EAST 44TH COURT
DAVENPORT IA 52807

Officer/Director/Trustee Two

WILLIAM ARGO
VICE PRESIDENT
2934 EAST 44TH COURT
DAVENPORT IA 52807

Officer/Director/Trustee Three

SHELIA GERVASE
TREASURER
4907 TURNBERRY COURT
DAVENPORT IA 52807

Officer/Director/Trustee Four

MARIANNE CORBIN
SECRETARY
1931 EAST 48TH COURT
DAVENPORT IA 52807

Officer/Director/Trustee Five

JEFF PETERSON
DIRECTOR
2554 EAST COLUMBIA AVENUE
DAVENPORT IA 52803

Organization’s website NA
Organization’s email KATHLEENARGO@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 KATHLEEN ARGO
Signature Title PRESIDENT
Signature Date 9/22/2021

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