FORM 1023-EZ for HARDIN COUNTY CHILD ABUSE PREVENTION COALITION

Field Data
EIN 81-5264142
Case Number EO-2017054-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARDIN COUNTY CHILD ABUSE PREVENTION COALITION
Organization’s Mailing Address 814 RAILROAD STREET
City IOWA FALLS
State IA
ZIP 50126-2113
Accounting period End 6
Primary contact name DANIELLE CERNA-KOEHRSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE CERNA-KOEHRSEN
PRESIDENT
102 RIVERWOODS RD
IOWA FALLS IA 50126-1820

Officer/Director/Trustee Two

CARRIE KUBE
TREASURER
814 RAILROAD ST
IOWA FALLS IA 50126-2113

Officer/Director/Trustee Three

DANIELLE ENGLE
VICE PRESIDENT
814 RAILROAD ST
IOWA FALLS IA 50126-2113

Officer/Director/Trustee Four

FELICIA LEDBETTER
SECRETARY
814 RAILROAD ST
IOWA FALLS IA 50126-2113

Officer/Director/Trustee Five

ANNA REENTS
BOARD MEMBER
814 RAILROAD ST
IOWA FALLS IA 50126-2113

Organization’s website HTTP://WWW.HCCAPC.COM
Organization’s email ADMIN@HCCAPC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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