FORM 1023-EZ for MELCHER-DALLAS SENIOR CENTER

Field Data
EIN 42-1256668
Case Number EO-2018239-000813
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MELCHER-DALLAS SENIOR CENTER
Organization’s Mailing Address 109 SW MAIN STREET BOX 554
City MELCHER DALLAS
State IA
ZIP 50163
Accounting period End 12
Primary contact name JUDY RIPPERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL KONRAD
PRESIDENT
211 NE 4TH-BOX 101
MELCHER DALLAS IA 50163

Officer/Director/Trustee Two

SHARON PEARSON
VICE PRESIDENT
104 NW 1ST-BOX 328
MELCHER DALLAS IA 50163

Officer/Director/Trustee Three

DIXIE KONRAD
SEC-TREAS
105 NE 4TH-BOX 22
MELCHER DALLAS IA 50163

Officer/Director/Trustee Four

RACHEL DOBSON
TRUSTEE
112 SE E ST-BOX 402
MELCHER DALLAS IA 50163

Officer/Director/Trustee Five

JUDY RIPPERGER
TRUSTEE
215 SW MAIN ST
MELCHER DALLAS IA 50062

Organization’s website N/A
Organization’s email MCRJUDY@WINDSTREAM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/74
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, 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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUDY RIPPERGER
Signature Title TRUSTEE
Signature Date 8/24/18

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