FORM 1023-EZ for PARENTS FAMILIES AND FRIENDS OF LESBIANS AND GAYS NORTH IOWA CHAPTER

Field Data
EIN 33-1076398
Case Number EO-2014332-000063
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARENTS FAMILIES AND FRIENDS OF LESBIANS AND GAYS NORTH IOWA CHAPTER
Organization’s Mailing Address PO BOX 301
City MASON CITY
State IA
ZIP 50402-0301
Accounting period End 12
Primary contact name GARY SWENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDAL BLACK
PRESIDENT
307 NORTH MONROE AVE
MASON CITY IA 50401

Officer/Director/Trustee Two

DAVID WELSHER
VICE-PRESIDENT
917 NORTH JEFFERSON AVE
MASON CITY IA 50401

Officer/Director/Trustee Three

ALYSSA WENDT
SECRETARY
1147 EASTMOOR DRIVE
MASON CITY IA 50401

Officer/Director/Trustee Four

GARY SWENSON
TREASURER
145 PEBBLE CREEK DRIVE
MASON CITY IA 50401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2003
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R26 - Lesbian, Gay Rights
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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