FORM 1023-EZ for CEDAR RAPIDS AND IOWA CITY WALLEYECLUB INC

Field Data
EIN 84-4208581
Case Number EO-2021035-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CEDAR RAPIDS AND IOWA CITY WALLEYECLUB INC
Organization’s Mailing Address 9542 DEER VALLEY DRIVE
City CEDAR RAPIDS
State IA
ZIP 52411
Accounting period End 12
Primary contact name DAVID NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID NICHOLS
DIRECTOR
9542 DEER VALLEY DRIVE
CEDAR RAPIDS IA 52411

Officer/Director/Trustee Two

GARY SPEICHER
DIRECTOR
4708 KEYSTONE RIDGE SE
CEDAR RAPIDS IA 52403

Officer/Director/Trustee Three

TERRY HORA
DIRECTOR
2927 STERLING DRIVE
IOWA CITY IA 52240

Officer/Director/Trustee Four

TRACY HAYWARD
DIRECTOR
495 WOODVIEW AVENUE
ROBINS IA 52328

Officer/Director/Trustee Five

ROGER ABEL
DIRECTOR
240 EASTVIEW AVENUE
MARION IA 52302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID NICHOLS
Signature Title DIRECTOR
Signature Date 12/17/2020

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