FORM 1023-EZ for HAUS OF QUI

Field Data
EIN 85-2366898
Case Number EO-2020339-000055
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAUS OF QUI
Organization’s Mailing Address 706 ISABELLA STREET
City SIOUX CITY
State IA
ZIP 51103
Accounting period End 9
Primary contact name KATHY BANTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY BANTA
PRESIDENT
706 ISABELLA STREET
SIOUX CITY IA 51103

Officer/Director/Trustee Two

JOEY VO
VICE PRESIDENT
3921 WINONA WAY APT 1
SIOUX CITY IA 51104

Officer/Director/Trustee Three

GABE GRIESEL
SECRETARY
3127 PIERCE STREET APT 1
SIOUX CITY IA 51104

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHY BANTA
Signature Title PRESIDENT
Signature Date 11/13/2020

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