FORM 1023-EZ for COALITION FOR SENIOR AND COMMUNITYSERVICES

Field Data
EIN 39-1896307
Case Number EO-2019058-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COALITION FOR SENIOR AND COMMUNITYSERVICES
Organization’s Mailing Address 107 W WASHINGTON STREET
City WASHINGTON
State IA
ZIP 52353
Accounting period End 12
Primary contact name BARBARA NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARB NELSON
PRESIDENT
1920 W MAIN ST
WASHINGTON IA 52353

Officer/Director/Trustee Two

KERRY ZIEHL
VICE PRESIDENT
910 E ADAMS ST
WASHINGTON IA 52353

Officer/Director/Trustee Three

JUDY GROVER
TREASURER
1018 E WASHINGTON ST
WASHINGTON IA 52353

Officer/Director/Trustee Four

NANCY KIMMEL
SECRETARY
616 S 2ND AVE
WASHINGTON IA 52353

Organization’s website
Organization’s email COMMUNITYCENTERCP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/96
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BARB NELSON
Signature Title PRESIDENT
Signature Date 2/25/19
EIN 39-1896307
Case Number EO-2019058-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COALITION FOR SENIOR AND COMMUNITY SERVICES
Organization’s Mailing Address 107 W WASHINGTON STREET
City WASHINGTON
State IA
ZIP 52353
Accounting period End 12
Primary contact name BARBARA NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARB NELSON
PRESIDENT
1920 W MAIN ST
WASHINGTON IA 52353

Officer/Director/Trustee Two

KERRY ZIEHL
VICE PRESIDENT
910 E ADAMS ST
WASHINGTON IA 52353

Officer/Director/Trustee Three

JUDY GROVER
TREASURER
1018 E WASHINGTON ST
WASHINGTON IA 52353

Officer/Director/Trustee Four

NANCY KIMMEL
SECRETARY
616 S 2ND AVE
WASHINGTON IA 52353

Organization’s website
Organization’s email COMMUNITYCENTERCP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/96
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BARB NELSON
Signature Title PRESIDENT
Signature Date 2/25/19

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