FORM 1023-EZ for MIRACLE TREE OF MITCHELL COUNTY INC

Field Data
EIN 47-1636843
Case Number EO-2014268-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIRACLE TREE OF MITCHELL COUNTY INC
Organization’s Mailing Address 810 LIME KILN RD
City OSAGE
State IA
ZIP 50461
Accounting period End 12
Primary contact name DEBBIE L GOODALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBBIE GOODALE
OFFICER
810 LIME KILN RD
OSAGE IA 50461

Officer/Director/Trustee Two

CAROLYN BREMER
OFFICER
1005 MAIN STREET
OSAGE IA 50461

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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