FORM 1023-EZ for HOPE FOR JOHNSON COUNTY

Field Data
EIN 38-4184901
Case Number EO-2021196-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE FOR JOHNSON COUNTY
Organization’s Mailing Address 1540 CEDAR VISTA LN
City NORTH LIBERTY
State IA
ZIP 52317
Accounting period End 12
Primary contact name PAM PETERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM PETERS
BOARD PRESIDENT
1540 CEDAR VISTA LN
NORTH LIBERTY IA 52317

Officer/Director/Trustee Two

DAN FEIGENSPAN
VICE PRESIDENT
2103 540TH ST SW
KALONA IA 52247

Officer/Director/Trustee Three

WADE SUMMERS
TREASURER
1632 DOVER ST
IOWA CITY IA 52240

Officer/Director/Trustee Four

JOSH SUPER
SECRETARY
625 PEBBLE CT
NORTH LIBERTY IA 52317

Officer/Director/Trustee Five

REN MILLER
DIRECTOR
1845 KATHLIN DR
IOWA CITY IA 52246

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2018
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAM PETERS
Signature Title BOARD PRESIDENT
Signature Date 7/14/2021

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