FORM 1023-EZ for ST MARYS CHURCH FOUNDATION

Field Data
EIN 86-2629253
Case Number EO-2021099-001852
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST MARYS CHURCH FOUNDATION
Organization’s Mailing Address 23367 290TH ST
City DEDHAM
State IA
ZIP 51440
Accounting period End 6
Primary contact name FRANK J COMITO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARYL KLOCKE
VICE PRESIDENT
23367 290TH ST
DEDHAM IA 51440

Officer/Director/Trustee Two

ALAN MEINERS
PRESIDENT
24428 280TH ST
DEDHAM IA 51440

Officer/Director/Trustee Three

SUE RIESSELMAN
VICE PRESIDENT
431 260TH ST
CARROLL IA 51401

Officer/Director/Trustee Four

PATRICK TIGGES
TREASURER
23595 PHOENIX AVE
CARROLL IA 51401

Officer/Director/Trustee Five

JAYNIE FERNEDING
SECRETARY
21618 270TH ST
DEDHAM IA 51440

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICK TIGGES
Signature Title TREASURER
Signature Date 3/22/2021

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