FORM 1023-EZ for VAN METER COMMUNITY DEVELOPMENT

Field Data
EIN 47-2255544
Case Number EO-2015076-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VAN METER COMMUNITY DEVELOPMENT
Organization’s Mailing Address 14225 UNIVERSITY AVE SUITE 210
City WAUKEE
State IA
ZIP 50236
Accounting period End 12
Primary contact name CHAD EICHORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOB LACY
DIRECTOR/PRESIDENT
404 GRANT ST
VAN METER IA 50261

Officer/Director/Trustee Two

BRENDA GOLWITZER
DIRECTOR
527 MAIN ST
VAN METER IA 50261

Officer/Director/Trustee Three

CINDY WINCHELL
DIRECTOR
475 MILL ST
VAN METER IA 50261

Officer/Director/Trustee Four

AMY SKOGERSON
DIRECTOR
413 GRANT ST
VAN METER IA 50261

Officer/Director/Trustee Five

DERON DURFLINGER
DIRECTOR
2695 LONG AVE
VAN METER IA 50261

Organization’s website NONE
Organization’s email CEICHORN@DSMLAWYERS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural 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
Signature Title
Signature Date

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