FORM 1023-EZ for OTTOSEN COMMUNITY CHURCH INC

Field Data
EIN 84-2266241
Case Number EO-2019224-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OTTOSEN COMMUNITY CHURCH INC
Organization’s Mailing Address 307 BRADY AVENUE
City OTTOSEN
State IA
ZIP 50570
Accounting period End 12
Primary contact name TOM JACOBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JACOBSON
PRESIDENT/TREASURER/SECRETARY
1496 120TH STREET
OTTOSEN IA 50570

Officer/Director/Trustee Two

DAN BENNETT
VICE PRESIDENT
100 1ST STREET
OTTOSEN IA 50570

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 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 No
Correctness Declaration Yes
Signature Name THOMAS JACOBSON
Signature Title PRESIDENT/TREASURER/SECRETARY
Signature Date 8/9/19

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