FORM 1023-EZ for HENRY GREGOR FELSEN TRIBUTE

Field Data
EIN 47-3702275
Case Number EO-2015106-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRY GREGOR FELSEN TRIBUTE
Organization’s Mailing Address 1599 NW 101
City CLIVE
State IA
ZIP 50325
Accounting period End 12
Primary contact name HOLLY WELCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOLLY WELCH
PRESIDENT
1599 NW 101
CLIVE IA 50325

Officer/Director/Trustee Two

WILLIAM APPELGATE
BOARD MEMBER
2386 SOUTH ORILLA ROAD
CUMMING IA 50061

Officer/Director/Trustee Three

MARVIN ZACH
BOARD MEMBER
4508 PARKVIEW DRIVE
URBANDALE IA 50322

Officer/Director/Trustee Four

DANIEL FELSEN
BOARD MEMBER
1789 EAST 9845 SOUTH
SANDY UT 84092

Officer/Director/Trustee Five

DAVID VINCENT
BOARD MEMBER
11 EAST PHILLIP STREET
DES MOINES IA 50315

Organization’s website HTTP://WWW.HENRYGREGORFELSENTRIBUTE.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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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