FORM 1023-EZ for MID-IOWA MUSKIES INC CHAPTER 55

Field Data
EIN 82-5498577
Case Number EO-2021092-000939
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID-IOWA MUSKIES INC CHAPTER 55
Organization’s Mailing Address 8149 NE 27TH AV
City ALTOONA
State IA
ZIP 50009
Accounting period End 12
Primary contact name KURT GUSTAFSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLIE RIDGEWAY
PRESIDENT AND DIRECTOR
704 6TH ST SE
ALTOONA IA 50009

Officer/Director/Trustee Two

KURT GUSTAFSON
TREASURER AND DIRECTOR
8149 NE 27TH AV
ALTOONA IA 50009

Officer/Director/Trustee Three

DAVE HALVERSON
VICE PRESIDENT AND DIRECTOR
105 E PRAIRIE ST
TRURO IA 50257

Officer/Director/Trustee Four

DONNIE MYERS
SECRETARY AND DIRECTOR
2905 NE BRIARWOOD DR
ANKENY IA 50021

Officer/Director/Trustee Five

CORY MONTGOMERY
DIRECTOR
922 DOUGLAS AV
AMES IA 50009

Organization’s website WWW.MIDIOWAMUSKIES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2018
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 Yes
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 KURT GUSTAFSON
Signature Title TREASURER AND DIRECTOR
Signature Date 3/3/2021

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