FORM 1023-EZ for 5 SEASONS DEVELOPMENT

Field Data
EIN 81-3548317
Case Number EO-2017093-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 5 SEASONS DEVELOPMENT
Organization’s Mailing Address 50 SECOND AVENUE BRIDGE
City CEDAR RAPIDS
State IA
ZIP 52401
Accounting period End 12
Primary contact name MARK VAN HEUKELOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CHISMAR
CEO
50 SECOND AVENUE BRIDGE
CEDAR RAPIDS IA 52401

Officer/Director/Trustee Two

JEFF CAPPS
DIRECTOR
50 SECOND AVENUE BRIDGE
CEDAR RAPIDS IA 52401

Officer/Director/Trustee Three

KEITH RIPPY
DIRECTOR
50 SECOND AVENUE BRIDGE
CEDAR RAPIDS IA 52401

Officer/Director/Trustee Four

DEBORAH SCHROEDER
DIRECTOR
50 SECOND AVENUE BRIDGE
CEDAR RAPIDS IA 52401

Officer/Director/Trustee Five

LISA HAMILTON
DIRECTOR
50 SECOND AVENUE BRIDGE
CEDAR RAPIDS IA 52401

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2015
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: 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 Yes
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
Signature Title
Signature Date

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