FORM 1023-EZ for GSI WORKS

Field Data
EIN 82-4353906
Case Number EO-2018304-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GSI WORKS
Organization’s Mailing Address 415 12TH AVENUE SE
City CEDAR RAPIDS
State IA
ZIP 52401
Accounting period End 12
Primary contact name STACIE R JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACIE JOHNSON
TREASURER
415 12TH AVENUE SE
CEDAR RAPIDS IA 52401

Officer/Director/Trustee Two

MORGAN YARKER
PRESIDENT
1027 CAPRI DRIVE NE
CEDAR RAPIDS IA 52402

Officer/Director/Trustee Three

KAITLIN SCHMIDT
SECRETARY
415 12TH AVENUE SE
CEDAR RAPIDS IA 52401

Organization’s website GSIWORKS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
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 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 STACIE JOHNSON
Signature Title TREASURER
Signature Date 10/29/18

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