FORM 1023-EZ for BACK 2 BASICS INC

Field Data
EIN 85-3672989
Case Number EO-2021099-001015
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACK 2 BASICS INC
Organization’s Mailing Address 1513 NEWELL STREET
City EVANSDALE
State IA
ZIP 50707
Accounting period End 12
Primary contact name MIKE ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOREEN MINGO
VOTING MEMBER
4922 BEL AIRE RD
DES MOINE IA 50310

Officer/Director/Trustee Two

CORYE JOHNSON
VICE CHAIR VOTING MEMBER
116 SOUTH STREET
WATERLOO IA 50701

Officer/Director/Trustee Three

ANGELA ROBINSON
TREASURER VOTING MEMBER
1622 CHERRY HILLS DR
WATERLOO IA 50703

Officer/Director/Trustee Four

KARLA CREIGHTON
VOTING MEMBER
203 PHILLIP STREET
DES MOINE IA 50315

Officer/Director/Trustee Five

MIKE ROBINSON
DIRECTOR
1513
EVANSDALKE IA 50707

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MIKE ROBINSON
Signature Title DIRECTOR
Signature Date 3/22/2021

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