FORM 1023-EZ for INNS OF MEDIATION

Field Data
EIN 82-2254849
Case Number EO-2018120-000534
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INNS OF MEDIATION
Organization’s Mailing Address 13002 OAK BROOK DRIVE
City URBANDALE
State IA
ZIP 50322-2146
Accounting period End 12
Primary contact name RICHARD CALKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY MCLELLAN
PRESIDENT
500 MULBERRY ST
DES MOINES IA 50309

Officer/Director/Trustee Two

CASSIE KINNEY
SECRETARY/TREASURER
400 LOCUST ST SUITE 820
DES MOINES IA 50309-2334

Officer/Director/Trustee Three

MICHAEL STREIT
PROGRAM OFFICER/DIRECTOR
100 COURT AVE
DES MOINES IA 50309

Officer/Director/Trustee Four

RICHARD CALKINS
DIRECTOR
13002 OAK BROOK DR
URBANDALE IA 50323

Officer/Director/Trustee Five

JAMES ALBERT
DIRECTOR
2608 FOREST AVE
DES MOINES IA 50311

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 CASSIE KINNEY
Signature Title SECRETARY/TREASURER
Signature Date 4/26/18

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