FORM 1023-EZ for SIOUXLANDERS CHAPTER OF SOCIETY FORPRESERVATION ENCRGMNT OF BARBER

Field Data
EIN 42-1094454
Case Number EO-2016148-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIOUXLANDERS CHAPTER OF SOCIETY FORPRESERVATION ENCRGMNT OF BARBER
Organization’s Mailing Address 704 JACKSON ST
City SIOUX CITY
State IA
ZIP 51105
Accounting period End 12
Primary contact name DAWN MIKKELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIS BUELL
SEC
494 210TH ST
HOMER NE 68030

Officer/Director/Trustee Two

JERRY FORBES
DIRECTOR
1225 CORNELIA
SIOUX CITY IA 51106

Officer/Director/Trustee Three

JAMES MALEK
DIRECTOR
3716 WOODBINE RD
SIOUX CITY IA 51106

Officer/Director/Trustee Four

PAUL ROBERTS
PRESIDENT
2375 130TH ST
LAWTON IA 51030

Officer/Director/Trustee Five

ARGYL ULLESTAD
TREASURER
320 DAKOTA DUNES BLVD
DAKOTA DUNES SD 57049

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/1978
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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