FORM 1023-EZ for THE CENTER FOR THE IMAGE

Field Data
EIN 27-1751771
Case Number EO-2015323-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CENTER FOR THE IMAGE
Organization’s Mailing Address 723 STATE STREET - PO BOX 775
City GRINNELL
State IA
ZIP 50112-0775
Accounting period End 12
Primary contact name CAROL B WILHELM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HENRY WILHELM
PRESIDENT, DIRECTOR
723 STATE STREET
GRINNELL IA 50112-0775

Officer/Director/Trustee Two

CAROL WILHELM
SECRETARY, DIRECTOR
723 STATE STREET
GRINNELL IA 50112-0775

Officer/Director/Trustee Three

HAROLD FUSON
TREASURER, DIRECTOR
769 NARDO ROAD
ENCINITAS CA 92024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2009
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U40 - Engineering and Technology Research, Services
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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