FORM 1023-EZ for TOPS CLUB INC DBA 1158 SILBEY TOPSIA

Field Data
EIN 26-2210693
Case Number EO-2016265-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOPS CLUB INC DBA 1158 SILBEY TOPSIA
Organization’s Mailing Address 5265 HIGHWAY 9
City SIBLEY
State IA
ZIP 51249
Accounting period End 3
Primary contact name ANGELA GRADERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA GRADERT
TREASURER
5265 HIGHWAY 9
SIBLEY IA 51249

Officer/Director/Trustee Two

KRIS GRAVE
LEADER
309 N WASHINGTON
GEORGE IA 51237

Officer/Director/Trustee Three

PAM TIEDEMANN
CO-LEADER
336 3RD STREET
ASHTON IA 51232

Officer/Director/Trustee Four

RUTH LOERTS
SECRETARY
1020 2ND STREET NE
SIBLEY IA 51249

Officer/Director/Trustee Five

SHIRLEY KRUGER
RECORDER
820 10TH STREET
SIBLEY IA 51249

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2008
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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