FORM 1023-EZ for REGION XII HOUSING CORPORATION

Field Data
EIN 46-0973300
Case Number EO-2016342-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REGION XII HOUSING CORPORATION
Organization’s Mailing Address 1009 E ANTHONY ST PO BOX 768
City CARROLL
State IA
ZIP 51401-0768
Accounting period End 6
Primary contact name RICHARD HUNSAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTY DANZER
CHAIR
1009 E ANTHONY ST
CARROLL IA 51401-0768

Officer/Director/Trustee Two

RICHARD HUNSAKER
EXECUTIVE DIRECTOR
1009 E ANTHONY ST
CARROLL IA 51401-0768

Officer/Director/Trustee Three

ERIC SKOOG
VICE CHAIR
1009 E ANTHONY ST
CARROLL IA 51401-0768

Officer/Director/Trustee Four

GUY RICHARDSON
TREASURER
1009 E ANTHONY ST
CARROLL IA 51401-0768

Officer/Director/Trustee Five

JEROME CARAHER
SECRETARY
1009 E ANTHONY ST
CARROLL IA 51401-0768

Organization’s website
Organization’s email RHUNSAKER@REGION12COG.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2012
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
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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