FORM 1023-EZ for IOWA TEACHERS OF PSYCHOLOGY INC

Field Data
EIN 82-4917758
Case Number EO-2018150-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IOWA TEACHERS OF PSYCHOLOGY INC
Organization’s Mailing Address 919 OAK PARK BLVD
City CEDAR FALLS
State IA
ZIP 50613
Accounting period End 12
Primary contact name LINDA L WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY AGER
DIRECTOR AND PRESIDENT
5534 KRISTI LANE
BETTENDORF IA 52722

Officer/Director/Trustee Two

CHARLES BLAIR-BROEKER
DIRECTOR AND SECRETARY
2301 SUNSET BLVD
CEDAR FALLS IA 50613

Officer/Director/Trustee Three

DANA MELONE
DIRECTOR AND TREASURER
4545 WENIG RD NE
CEDAR RAPIDS IA 52402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/18
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 Yes
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 KELLY AGER
Signature Title DIRECTOR AND PRESIDENT
Signature Date 5/25/18

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