FORM 1023-EZ for LOESS HILLS YOUTH SHOOTING SPORTS INC

Field Data
EIN 47-2879789
Case Number EO-2015026-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOESS HILLS YOUTH SHOOTING SPORTS INC
Organization’s Mailing Address 1317 WHITE STREET
City WOODBINE
State IA
ZIP 51579-4009
Accounting period End 12
Primary contact name MICHAEL DORLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL DORLAND
TREASURER
1317 WHITE STREET
WOODBINE IA 51579-4009

Officer/Director/Trustee Two

DAVID TIERNEY
CHAIRMAN
2288 LIBERTY AVENUE
MISSOURI VALLEY IA 51555

Officer/Director/Trustee Three

DEB GOCHENOUR
SECRETARY
901 SUNNYSIDE AVENUE
MISSOURI VALLEY IA 51555

Officer/Director/Trustee Four

JACK WINTHER
CO-CHAIRMAN
2649 MONROE AVENUE
LOGAN IA 51546

Organization’s website WWW.LHYSHOOTINGSPORTS.COM
Organization’s email ADMIN@LHYSHOOTINGSPORTS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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
Signature Title
Signature Date

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