FORM 1023-EZ for BLAZE IOWA CITY

Field Data
EIN 86-3557283
Case Number EO-2021123-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAZE IOWA CITY
Organization’s Mailing Address 2150 ROCHESTER AVENUE
City IOWA CITY
State IA
ZIP 52245
Accounting period End 12
Primary contact name CHAD KEUNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN LITTON
PRESIDENT
47 VAIL CIRCLE
IOWA CITY IA 52245

Officer/Director/Trustee Two

CHAD KEUNE
TREASURER
2855 HIGH BLUFF DRIVE
CORALVILLE IA 52241

Officer/Director/Trustee Three

ANDY GAHAN
VICE PRESIDENT
613 STUART CT
IOWA CITY IA 52245

Officer/Director/Trustee Four

KELLEY DROWNE
SECRETARY
4435 BERKLEY LANE
IOWA CITY IA 52245

Officer/Director/Trustee Five

JODY KIES
DIRECTOR
30 LYNX LANE
NORTH LIBERTY IA 52317

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHAD KEUNE
Signature Title TREASURER
Signature Date 4/29/2021

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