FORM 1023-EZ for SIOUXLAND SPOUSES BEHIND THE SHIELD

Field Data
EIN 81-3682331
Case Number EO-2016267-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIOUXLAND SPOUSES BEHIND THE SHIELD
Organization’s Mailing Address PO BOX 3163
City SIOUX CITY
State IA
ZIP 51102
Accounting period End 12
Primary contact name SANDRA MUELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA MUELLER
DIRECTOR
6551 PALM VALLEY DR
SIOUX CITY IA 51106

Officer/Director/Trustee Two

JESSICA TROBAUGH
DIRECTOR
42131 260TH ST
REMSEN IA 51050

Officer/Director/Trustee Three

ELIZABETH HANSON
DIRECTOR
309 BROADMOOR DR
SO SIOUX CITY NE 68776

Officer/Director/Trustee Four

JESSICA BRAUNSCHWEIG
DIRECTOR
113 SKYVIEW W
LAWTON IA 51030

Officer/Director/Trustee Five

JUANITA SANDS
DIRECTOR
3520 7TH AVE
SIOUX CITY IA 51106

Organization’s website WWW.SIOUXLANDSPOUSESBEHINDTHESHIELD.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 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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