FORM 1023-EZ for HAZELNUT CONNECTION INC

Field Data
EIN 42-1463302
Case Number EO-2016221-000009
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAZELNUT CONNECTION INC
Organization’s Mailing Address 106 3RD AVENUE
City CHARLES CITY
State IA
ZIP 50616
Accounting period End 2
Primary contact name KATHYRN CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHYRN CAMPBELL
PRESIDENT
106 3RD AVENUE
CHARLES CITY IA 50616

Officer/Director/Trustee Two

LOU ANN MURPHY
TREASURER
625 MAIN ST
OSAGE IA 50461

Officer/Director/Trustee Three

MARY JANE OAKLAND
DIRECTOR
201 E CHURCH ST
MARSHALLTOWN IA 50158

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/1996
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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