FORM 1023-EZ for HUMBOLDT PROJECT PROM INC

Field Data
EIN 81-1042805
Case Number EO-2016015-000425
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUMBOLDT PROJECT PROM INC
Organization’s Mailing Address 312 10TH STREET NORTH
City HUMBOLDT
State IA
ZIP 50548
Accounting period End 12
Primary contact name JENNIFER HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER HANSEN
TREASURER
312 10TH STREET NORTH
HUMBOLDT IA 50548

Officer/Director/Trustee Two

ANDREA GEORGE
PRESIDENT
1811 WEST RIVER DRIVE
HUMBOLDT IA 50548

Officer/Director/Trustee Three

DAWN MASON
SECRETARY
4 WOODLAND DRIVE
HUMBOLDT IA 50548

Officer/Director/Trustee Four

KARIN SANDE
VICE PRESIDENT
3 WOODLAND DRIVE
HUMBOLDT IA 50548

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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