FORM 1023-EZ for IOWANS 4 MEDICAL CANNABIS

Field Data
EIN 81-4078819
Case Number EO-2016294-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IOWANS 4 MEDICAL CANNABIS
Organization’s Mailing Address 817 290TH ST
City SCRANTON
State IA
ZIP 51462
Accounting period End 12
Primary contact name TOM DUNCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM DUNCAN
PRESIDENT
819 290TH ST
SCRANTON IA 51462

Officer/Director/Trustee Two

SALLY GAER
TREASURER SECRETARY
163 59TH ST
WEST DES MOINES IA 50266

Officer/Director/Trustee Three

ROBERT LEWIS
VICE-PRESIDENT
6715 DELMATO
WINDSOR HEIGHTS IA 50324

Organization’s website I4MC.ORG
Organization’s email SALGALIA2@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - 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 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 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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