FORM 1023-EZ for VETS THRIVE FOUNDATION

Field Data
EIN 47-5591192
Case Number EO-2015331-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VETS THRIVE FOUNDATION
Organization’s Mailing Address 329 10TH AVE SE SUITE 123
City CEDAR RAPIDS
State IA
ZIP 52401
Accounting period End 12
Primary contact name JENNIFER MURPHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REBECCA WIRFS
PROGRAMS DIRECTOR
307 TURTLE DOVE LANE NE
MOUNT VERNON IA 52314

Officer/Director/Trustee Two

JENNIFER MURPHY
OPERATIONS DIRECTOR
951 6TH ST SE APT 201
CEDAR RAPIDS IA 52401

Officer/Director/Trustee Three

G DON STOCKTON
BOARD OF DIRECTORS MEMBER
130 SKYVIEW AVE
FAIRFAX IA 52228

Officer/Director/Trustee Four

KATHERINE PINE
BOARD OF DIRECTORS MEMBER
2530 26TH AVE
MARION IA 52302

Officer/Director/Trustee Five

PRESTON JOHNSON
BOARD OF DIRECTORS MEMBER
1694 BLOOMINGTON ROAD
MOUNT VERNON IA 52314

Organization’s website NA
Organization’s email VETSTHRIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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
Signature Title
Signature Date

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