FORM 1023-EZ for MARION COUNTY COALITION FOR SUICIDEPREVENTION INC

Field Data
EIN 84-1862246
Case Number EO-2019164-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARION COUNTY COALITION FOR SUICIDEPREVENTION INC
Organization’s Mailing Address 309 WEST MAIN STREET
City KNOXVILLE
State IA
ZIP 50138-2650
Accounting period End 12
Primary contact name CASSANDRA PEARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA PEARSON
PRESIDENT
309 WEST MAIN STREET
KNOXVILLE IA 50138-2650

Officer/Director/Trustee Two

STEFFANI NEMMERS
VICE PRESIDENT
1501 WEST MADISON STREET
KNOXVILLE IA 50138-2650

Officer/Director/Trustee Three

CHAD DES PLANQUES
TREASURER
202 NORTH BROBST STREET
KNOXVILLE IA 50138-2650

Officer/Director/Trustee Four

ANGELA NELSON
SECRETARY
1306 NORTH ROCHE STREET
KNOXVILLE IA 50138-2650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 CASSANDRA PEARSON
Signature Title PRESIDENT
Signature Date 6/10/19

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