FORM 1023-EZ for 215 RECOVERY FOUNDATION

Field Data
EIN 42-1480439
Case Number EO-2016053-000074
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 215 RECOVERY FOUNDATION
Organization’s Mailing Address 2413 JAY AVE
City SIOUX CITY
State IA
ZIP 51106
Accounting period End 12
Primary contact name TERRY WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY WRIGHT
TREASURER
705 6TH ST APT 207
SIOUX CITY IA 51101

Officer/Director/Trustee Two

RON MCKINLEY
PRESIDENT
4047 VAN BUREN
SIOUX CITY IA 51108

Officer/Director/Trustee Three

ROBERT MOLSTAD
SECRETARY
210 COOK DRIVE
SIOUX CITY IA 51104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/1998
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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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