FORM 1023-EZ for IOWA LEAN FOUNDATION

Field Data
EIN 30-0895376
Case Number EO-2016074-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IOWA LEAN FOUNDATION
Organization’s Mailing Address 100 E GRAND AVE SUITE 160
City DES MOINES
State IA
ZIP 50309
Accounting period End 12
Primary contact name TERESA HAY MCMAHON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERESA MCMAHON
PRESIDENT
100 E GRAND AVE -SUITE 160
DES MOINES IA 50309

Officer/Director/Trustee Two

DANIELLE ROECKER
VICE-PRESIDENT
1100 LOCUST STREET
DES MOINES IA 50391

Officer/Director/Trustee Three

DAVE HAMMOND
VICE-PRESIDENT
1331 GRAND AVE-STATION 1W455
DES MOINES IA 50309-2901

Officer/Director/Trustee Four

JEFF DAHM
TREASURER
4455 MILLWOOD LANE
BETTENDORF IA 52722

Officer/Director/Trustee Five

JEFF TERRELL
SECRETARY
1305 EAST WALNUT-DHS FLOOR 5
DES MOINES IA 50319-0114

Organization’s website WWW.IOWALEAN.ORG
Organization’s email EXECDIRECTOR@IOWALEAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
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
Signature Title
Signature Date

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