FORM 1023-EZ for BC BOBCAT POST PROM

Field Data
EIN 81-4289813
Case Number EO-2016308-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BC BOBCAT POST PROM
Organization’s Mailing Address 602 MAIN ST
City VAN HORNE
State IA
ZIP 52346
Accounting period End 12
Primary contact name STACIE GORKOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACIE GORKOW
OFFICER
602 MAIN ST
VAN HORNE IA 52346

Officer/Director/Trustee Two

AMY WELLS
OFFICER
503 B AVE
ATKINS IA 52206

Officer/Director/Trustee Three

EVA BARTELT
OFFICER
604 7TH ST
VAN HORNE IA 52346

Officer/Director/Trustee Four

LINDY DUNCALF
OFFICER
2161 66TH ST
VAN HORNE IA 52346

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
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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