FORM 1023-EZ for DES MOINES METRO PICKLEBALL CLUB

Field Data
EIN 82-3126795
Case Number EO-2020045-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DES MOINES METRO PICKLEBALL CLUB
Organization’s Mailing Address PO BOX 65223
City WEST DES MOINES
State IA
ZIP 50265-0223
Accounting period End 9
Primary contact name CHARLES GOLLIHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES GOLLIHER
PRESIDENT
2423 SE 13TH STREET
WEST DES MOINES IA 50265

Officer/Director/Trustee Two

JAN DAVIS
VICE PRESIDENT
3159 40TH STREET
DES MOINES IA 50310

Officer/Director/Trustee Three

BARB JEFFREY
TREASURER
16206 AIRLINE COURT
URBANDALE IA 50323

Officer/Director/Trustee Four

RUTH SWANSON
SECRETARY
1524 NW 109TH STREET
CLIVE IA 50325

Officer/Director/Trustee Five

JEN ROBERTS
BOARD MEMBER
312 31ST STREET
WEST DES MOINES IA 50265

Organization’s website DMMP.CLUB
Organization’s email CONTACT@DMMP.CLUB
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 CHARLES GOLLIHER
Signature Title PRESIDENT
Signature Date 2/12/2020

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