FORM 1023-EZ for CLAYTON COUNTY CONSERVATION AWARENESS NETWORK

Field Data
EIN 45-2067602
Case Number EO-2015071-000960
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLAYTON COUNTY CONSERVATION AWARENESS NETWORK
Organization’s Mailing Address PO BOX 252
City ELKADER
State IA
ZIP 52043-0252
Accounting period End 12
Primary contact name OLIVIA BRUNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY SIEGWARTH
PRESIDENT
PO BOX 252
ELKADER IA 52043-0252

Officer/Director/Trustee Two

DARYL BRUXVOORT
VICE-PRESIDENT
PO BOX 252
ELKADER IA 52043-0252

Officer/Director/Trustee Three

KATRINA MOYNA
SECRETARY
PO BOX 252
ELKADER IA 52043-0252

Officer/Director/Trustee Four

OLIVIA BRUNS
TREASURER
PO BOX 252
ELKADER IA 52043-0252

Organization’s website WWW.CLAYTONCOUNTYCAM.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2011
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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