FORM 1023-EZ for DUBUQUE PACKERS SPECIAL OLYMPICS CORPORATION

Field Data
EIN 81-5238022
Case Number EO-2018274-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DUBUQUE PACKERS SPECIAL OLYMPICS CORPORATION
Organization’s Mailing Address 17445 FIVE POINTS ROAD
City DURANGO
State IA
ZIP 52039
Accounting period End 12
Primary contact name MARY SUE GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY SUE GREEN
DIRECTOR
17445 FIVE POINTS RD
DURANGO IA 52039

Officer/Director/Trustee Two

IRENE STEPHAN
DIRECTOR
15500 HUMKE ROAD
DUBUQUE IA 52003

Officer/Director/Trustee Three

RITA CLEMEN
DIRECTOR
21686 BETHANY LANE
EPWORTH IA 52045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
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 MARY SUE GREEN
Signature Title DIRECTOR
Signature Date 9/29/18

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