FORM 1023-EZ for FRIENDS OF FAYETTE FAIR FOUNDATION

Field Data
EIN 47-4339796
Case Number EO-2015187-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF FAYETTE FAIR FOUNDATION
Organization’s Mailing Address 209 W 1ST STREET
City SUMNER
State IA
ZIP 50674
Accounting period End 3
Primary contact name MATT EGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATT EGAN
DIRECTOR
209 W 1ST STREET
SUMNER IA 50674

Officer/Director/Trustee Two

AMY BOEHM
DIRECTOR
18832 ECHO RD
ELGIN IA 52141

Officer/Director/Trustee Three

KEVNIN CONVERSE
DIRECTOR
18584 W AVE
HAWKEYE IA 52147

Officer/Director/Trustee Four

MARIAH CUSHION
DIRECTOR
16892 160TH STREET
RANDALIA IA 52164

Officer/Director/Trustee Five

TERRY LANSGARRD
DIRECTOR
405 ELM STREET
WEST UNION IA 52175

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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