FORM 1023-EZ for SUSTAINING ACTIVE INDEPENDENT LIVING IN DALLAS CENTER INC

Field Data
EIN 81-1707519
Case Number EO-2016105-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUSTAINING ACTIVE INDEPENDENT LIVING IN DALLAS CENTER INC
Organization’s Mailing Address PO BOX 123
City DALLAS CENTER
State IA
ZIP 50063-0123
Accounting period End 12
Primary contact name ROBERT E KING PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT KING
PRESIDENT
905 VINE STREET
DALLAS CENTER IA 50063-2018

Officer/Director/Trustee Two

DENA GOEPFERICH
TREASURER
1002 VINE STREET
DALLAS CENTER IA 50063-2081

Officer/Director/Trustee Three

B DIANE FINDLAY
VICE PRESIDENT
28942 230TH STREET
DALLAS CENTER IA 50063-8294

Officer/Director/Trustee Four

OWEN MEYERS
SECRETARY
20337 270TH STREET
ADEL IA 50003-4622

Officer/Director/Trustee Five

ROBERT GERMAN
FINANCE COMMITTEE CHAIRPERSON
25492 278TH PLACE
DALLAS CENTER IA 50063-8331

Organization’s website SAILDC.ORG
Organization’s email INFO@SAILDC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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
Signature Title
Signature Date

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