FORM 1023-EZ for FORT DODGE GRIDIRON CLUB

Field Data
EIN 83-4453679
Case Number EO-2019325-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORT DODGE GRIDIRON CLUB
Organization’s Mailing Address 809 CENTRAL AVENUE SUITE 600
City FORT DODGE
State IA
ZIP 50501
Accounting period End 12
Primary contact name NICHOLAS K COCHRANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN SMITH
PRESIDENT
1981 LOUISE RIDGE ROAD
FORT DODGE IA 50501

Officer/Director/Trustee Two

MARK MCBRIDE
SECRETARY
3005 N SOLDIER CREEK DRIVE
FORT DODGE IA 50501

Officer/Director/Trustee Three

SAMUEL MOSER
TREASURER
324 9TH AVENUE NORTH
FORT DODGE IA 50501

Officer/Director/Trustee Four

JEFFREY DANIEL
DIRECTOR
1859 10TH AVENUE NORTH
FORT DODGE IA 50501

Officer/Director/Trustee Five

RODNEY RIESSEN
DIRECTOR
2719 22ND AVENUE NORTH
FORT DODGE IA 50501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 RYAN SMITH
Signature Title PRESIDENT
Signature Date 11/19/19

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