FORM 1023-EZ for CENTRAL DEWITT ARCHERY CLUB INC

Field Data
EIN 87-2524340
Case Number EO-2021252-000442
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL DEWITT ARCHERY CLUB INC
Organization’s Mailing Address PO BOX 435
City DEWITT
State IA
ZIP 52742
Accounting period End 12
Primary contact name DAVID PILLERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWIN VANCE
PRESIDENT
2444 260TH AVENUE
DEWITT IA 52742

Officer/Director/Trustee Two

BRYAN ROBINSON
DIRECTOR
2355 255TH
DEWITT IA 52742

Officer/Director/Trustee Three

JULIE ROBINSON
DIRECTOR
2355 255TH
DEWITT IA 52742

Officer/Director/Trustee Four

ROBERT PAASCH JR
DIRECTOR
2947 205TH STREET
DEWITT IA 52742

Officer/Director/Trustee Five

ANDREW JOHNSTON
DIRECTOR
312 12TH STREET
DEWITT IA 52742

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 EDWIN VANCE
Signature Title PRESIDENT
Signature Date 9/7/2021

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