FORM 1023-EZ for MADRID BUNCH

Field Data
EIN 81-5042211
Case Number EO-2017023-000489
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADRID BUNCH
Organization’s Mailing Address 1847 340TH STREET
City MADRID
State IA
ZIP 50156
Accounting period End 12
Primary contact name SCOTT OLSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANE SHAVER
PRESIDENT
403 NEWTON RD
MADRID IA 50156

Officer/Director/Trustee Two

JAMES ARMSTEAD
VICE PRESIDENT
4122 66TH ST
URBANDALE IA 50322

Officer/Director/Trustee Three

SCOTT OLSEN
TREASURER
1847 340TH STREET
MADRID IA 50156

Officer/Director/Trustee Four

MICHELLE WORDON
SECRETARY
479 FAIRVIEW DR
MADRID IA 50156

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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