FORM 1023-EZ for MAPLE RIVER AREA PARK INC

Field Data
EIN 42-1438079
Case Number EO-2019121-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAPLE RIVER AREA PARK INC
Organization’s Mailing Address 17614 GUTHRIE ST
City CARROLL
State IA
ZIP 51401
Accounting period End 12
Primary contact name KELLY FOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT DAVIS
PRESIDENT
17704 WAYNE ST
CARROLL IA 51401

Officer/Director/Trustee Two

DENISE HEINRICHS
TREASURER
17614 GUTHRIE ST
CARROLL IA 51401

Officer/Director/Trustee Three

LOA BECKER
SECRETARY
17590 IVY AVE
CARROLL IA 51401

Officer/Director/Trustee Four

KELLY FOLEY
VICE PRESIDENT
17656 IVY AVE
CARROLL IA 51401

Officer/Director/Trustee Five

JOLENE THIELEN
DIRECTOR
17662 IVY AVE
CARROLL IA 51401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/95
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 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 KELLY FOLEY
Signature Title VICE PRESIDENT
Signature Date 4/29/19

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