FORM 1023-EZ for TEAMSTERS COMMUNITY ACTION NETWORK

Field Data
EIN 82-1102866
Case Number EO-2018026-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAMSTERS COMMUNITY ACTION NETWORK
Organization’s Mailing Address 5000 J STREET SW
City CEDAR RAPIDS
State IA
ZIP 52404-4915
Accounting period End 12
Primary contact name JESSE CASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE CASE
PRESIDENT
5000 J STREET SW
CEDAR RAPIDS IA 52404-4915

Officer/Director/Trustee Two

LOXI HOPKINS
VICE PRESIDENT
2721 E PLEASANT
DAVENPORT IA 52803-3432

Officer/Director/Trustee Three

STEPHANIE GRIFFIN
TREASURER
6506 MINDEN LANE NE
CEDAR RAPIDS IA 52402-1116

Officer/Director/Trustee Four

NATALIE VELDHOUSE
SECRETARY
425 E JEFFERSON STREET
IOWA CITY IA 52245-2475

Officer/Director/Trustee Five

KAREN NICHOLS
BOARD MEMBER
1737 F STREET
IOWA CITY IA 52240-6118

Organization’s website WWW.TEAMCAN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 JESSE CASE
Signature Title PRESIDENT
Signature Date 1/24/18

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