FORM 1023-EZ for FOUNDATION OF CORNERSTONE COMMUNITIES

Field Data
EIN 61-1946694
Case Number EO-2020015-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION OF CORNERSTONE COMMUNITIES
Organization’s Mailing Address 200 MAIN STREET
City GUTTENBERG
State IA
ZIP 52052
Accounting period End 12
Primary contact name AMY SPEED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT MERRICK
PRESIDENT
200 MAIN STREET
GUTTENBERG IA 52052

Officer/Director/Trustee Two

ROGER THOMAS
TREASURER
200 MAIN STREET
GUTTENBERG IA 52052

Officer/Director/Trustee Three

JACKIE LEE
TRUSTEE
200 MAIN STREET
GUTTENBERG IA 52052

Officer/Director/Trustee Four

ANDY REIMER
TRUSTEE
200 MAIN STREET
GUTTENBERG IA 52052

Officer/Director/Trustee Five

AMY SPEED
DIRECTOR
200 MAIN STREET
GUTTENBERG IA 52052

Organization’s website HTTPS://GUTTENBERGHOSPITAL.ORG/WAYS-TO-GIVE/FOUNDATION-OF-CORNERSTONE-COMMUNITIES/
Organization’s email AMY.SPEED@GUTTENBERGHOSPITAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 AMY SPEED
Signature Title DIRECTOR
Signature Date 1/13/2020

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