FORM 1023-EZ for SOUTH STORY BANK CHARITABLE FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-4231257 |
| Case Number | EO-2016335-000279 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SOUTH STORY BANK CHARITABLE FOUNDATION |
| Organization’s Mailing Address | 905 N HWY 69 |
| City | HUXLEY |
| State | IA |
| ZIP | 50124 |
| Accounting period End | 12 |
| Primary contact name | LUANN R CARLSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEVIN BROOKS
PRESIDENT
2716 NW 158TH AVE
SLATER IA 50244
Officer/Director/Trustee Two
LUANN CARLSON
TREASURER
905 N HWY 69
HUXLEY IA 50124
Officer/Director/Trustee Three
ELIZABETH GARST
DIRECTOR
1313 FIG AVE
COON RAPIDS IA 50058
Officer/Director/Trustee Four
JENNIFER GARST
DIRECTOR
708 BROOKRIDGE AVE
AMES IA 50010
Officer/Director/Trustee Five
SID JONES
DIRECTOR
1203 RUSHRIDGE ROAD
JEFFERSON IA 50129
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/7/2016 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T21 - Corporate Foundations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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