FORM 1023-EZ for THE IOWA SOCIETY OF POST-ACUTE AND LONG-TERM CARE MEDICINE

Field Data
EIN 42-1370023
Case Number EO-2017230-000101
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE IOWA SOCIETY OF POST-ACUTE AND LONG-TERM CARE MEDICINE
Organization’s Mailing Address 1775 90TH STREET
City WEST DES MOINES
State IA
ZIP 50266-1563
Accounting period End 12
Primary contact name CINDY BADDELOO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL STANTON
PRESIDENT
1775 90TH STREET
WEST DES MOINES IA 50266-1563

Officer/Director/Trustee Two

CURTIS HESSE
VICE PRESIDENT
1775 90TH STREET
WEST DES MOINES IA 50266-1563

Officer/Director/Trustee Three

MELISSA BRUHL
SECRETARY/TREASURER
1775 90TH STREET
WEST DES MOINES IA 50266-1563

Officer/Director/Trustee Four

JOHN RACHOW
PAST PRESIDENT
1775 90TH STREET
WEST DES MOINES IA 50266-1563

Officer/Director/Trustee Five

CINDY BADDELOO
IHCA REPRESENTATIVE
1775 90TH STREET
WEST DES MOINES IA 50266-1563

Organization’s website WWW.IPALTC.ORG
Organization’s email IPALTC@IOWAHEALTHCARE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/1991
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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