FORM 1023-EZ for BELMOND GREEN TRUST

Field Data
EIN 83-3322822
Case Number EO-2019095-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELMOND GREEN TRUST
Organization’s Mailing Address 2828 130TH STREET
City BELMOND
State IA
ZIP 50421
Accounting period End 12
Primary contact name ERIC SIMONSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY TURNER
PRESIDENT
1275 TAYLOR AVENUE
BELMOND IA 50421

Officer/Director/Trustee Two

REX BOYD
VICE PRESIDENT
2828 130TH STREET
BELMOND IA 50421

Officer/Director/Trustee Three

ERIC SIMONSON
SECRETARY/TREASURER
216 5TH AVENUE NE
BELMOND IA 50421

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
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 ERIC SIMONSON
Signature Title SECRETARY/TREASURER
Signature Date 4/3/19

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