FORM 1023-EZ for RETAIL JEWELERS ORGANIZATION FOUNDATION

Field Data
EIN 47-3662930
Case Number EO-2015238-000101
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RETAIL JEWELERS ORGANIZATION FOUNDATION
Organization’s Mailing Address 115 W 4TH ST N
City NEWTON
State IA
ZIP 50208
Accounting period End 12
Primary contact name MARY PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE DOLAND
PRESIDENT
3865 ELMORE AVE
DUBUQUE IA 52807

Officer/Director/Trustee Two

JOE KOESTER
VICE-PRESIDENT
2510 DIXIE HIGHWAY
FORT MITCHELLE KY 41017

Officer/Director/Trustee Three

AG BECKER
SEC./TREASURER
315 N MAIN
BREESE IL 62230

Officer/Director/Trustee Four

MARY PETERSON
EXECUTIVE DIRECTOR
50 BRUNSWICK CT
IOWA CITY IA 52240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
Organization’s purpose Charitable: Yes
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 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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