FORM 1023-EZ for POTTAWATTAMIE COUNTY COMMUNITY ORGANIZATIONS ACTIVE IN DISASTER

Field Data
EIN 45-5163099
Case Number EO-2014254-000526
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POTTAWATTAMIE COUNTY COMMUNITY ORGANIZATIONS ACTIVE IN DISASTER
Organization’s Mailing Address 20 PEARL STREET
City COUNCIL BLUFFS
State IA
ZIP 51503
Accounting period End 12
Primary contact name ERIC HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JILL ORTON
PRESIDENT
705 NORTH 16TH STREET
COUNCIL BLUFFS IA 51501

Officer/Director/Trustee Two

BARB MORRISON
VICE PRESIDENT
300 WEST BRAODWAY SUITE 240
COUNCIL BLUFFS IA 51503

Officer/Director/Trustee Three

ERIC HAMILTON
TREASURER
20 PEARL STREET
COUNCIL BLUFFS IA 51503

Officer/Director/Trustee Four

LINDA ROBICHEAU
SECRETARY
149 WEST BROADWAY
COUNCIL BLUFFS IA 51503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2012
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
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
Signature Title
Signature Date

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