FORM 1023-EZ for STANTON MEMORIAL CARILLON FOUNDATION

Field Data
EIN 47-2009534
Case Number EO-2017088-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STANTON MEMORIAL CARILLON FOUNDATION
Organization’s Mailing Address C/O ISUAA 430 BEACH AVENUE
City AMES
State IA
ZIP 50011-1430
Accounting period End 6
Primary contact name JENNIE GROMOLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIE GROMOLL
PRESIDENT
11292 SPYGLASS COVE LN
RESTON VA 20191-4518

Officer/Director/Trustee Two

ELLEN HUNT
VICE PRESIDENT
2948 S LISBON WAY
AURORA CO 80013-9057

Officer/Director/Trustee Three

JEFF JOHNSON
SECRETARY
430 BEACH AVENUE
AMES IA 50011-1430

Officer/Director/Trustee Four

DON BEHNING
TREASURER
430 BEACH AVENUE
AMES IA 50011-1430

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/1954
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 No
Benefit of College Yes
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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