FORM 1023-EZ for THE THRIVE PROJECT

Field Data
EIN 81-0693346
Case Number EO-2017075-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE THRIVE PROJECT
Organization’s Mailing Address 1639 GREEN VALLEY ROAD NW
City WAUKON
State IA
ZIP 52172
Accounting period End 12
Primary contact name STACIE COOPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACIE COOPER
OFFICER
1639 GREEN VALLEY ROAD NW
WAUKON IA 52172

Officer/Director/Trustee Two

JIM COOPER
DIRECTOR
1639 GREEN VALLEY ROAD NW
WAUKON IA 52172

Officer/Director/Trustee Three

KRISTI HAGER
DIRECTOR
2026 LYCURGUS ROAD
WAUKON IA 52172

Officer/Director/Trustee Four

BARB BERNS-SCHULL
DIRECTOR
447 ROLLING MEADOWS DRIVE
WAUKON IA 52172

Officer/Director/Trustee Five

DEB REGAN
DIRECTOR
1114 TREE LINE LANE
WAUKON IA 52172

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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