FORM 1023-EZ for INDEPENDENCE BREWBQ INC

Field Data
EIN 85-1171859
Case Number EO-2020149-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDEPENDENCE BREWBQ INC
Organization’s Mailing Address 2174-3 FROST AVE
City INDEPENDENCE
State IA
ZIP 50644
Accounting period End 12
Primary contact name TERRY GAUMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES GAUMER
PRESIDENT
2174
INDEPENDENCE IA 50644

Officer/Director/Trustee Two

JOHN HOUGEN
DIRECTOR
231 TERRACE DRIVE
INDEPENDENCE IA 50644

Officer/Director/Trustee Three

TERRY GAUMER
TREASURER
2174-3 FROST AVE
INDEPENDENCE IA 50644

Officer/Director/Trustee Four

JENNY HUGHES
SECRETARY
1749 GOLF COURSE BLVD 66
INDEPENDENCE IA 50644

Organization’s website BREWBQ.ORG
Organization’s email INFO@BREWBQ.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERRY GAUMER
Signature Title TREASURER
Signature Date 5/26/2020

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