FORM 1023-EZ for CORWITH COMMUNITY CLUB INC

Field Data
EIN 47-2546763
Case Number EO-2015002-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CORWITH COMMUNITY CLUB INC
Organization’s Mailing Address 1075 BIRCH AVE
City CORWITH
State IA
ZIP 50430-8040
Accounting period End 12
Primary contact name BENJAMIN J ENNEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MERVIN KRAUSS
PRESIDENT
1075 BIRCH AVE
CORWITH IA 50430-8040

Officer/Director/Trustee Two

RYAN WAGNER
VICE PRESIDENT
709 1ST STREET
CORWITH IA 50430

Officer/Director/Trustee Three

CAROL DEGROOTE
SECRETARY
1065 CRANE AVE
CORWITH IA 50430

Officer/Director/Trustee Four

CYNTHIA KOHLHAAS
TREASURER
1108 220TH AVE
LUVERNE IA 50560

Officer/Director/Trustee Five

MICHAEL PEARSON
DIRECTOR
603 MCKINLEY ST
CORWITH IA 50430

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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