FORM 1023-EZ for FRIENDS OF THE PELLA COMMUNITY CENTER INC

Field Data
EIN 82-5368750
Case Number EO-2018151-000040
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF THE PELLA COMMUNITY CENTER INC
Organization’s Mailing Address 1210 MAIN STREET
City PELLA
State IA
ZIP 50219
Accounting period End 12
Primary contact name BRUCE HAUSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATI VAN ZANTE
PRESIDENT, DIRECTOR
1117 BIG ROCK ROAD
PELLA IA 50219

Officer/Director/Trustee Two

RICHMOND BRUCE HAUSTEIN
TREASURER, CPA, DIRECTOR
1214 MAIN STREET
PELLA IA 50219-1224

Officer/Director/Trustee Three

DAVIS FOLKERTS
SECRETARY, DIRECTOR
126 SKYLINE DRIVE
KNOXVILLE IA 50138

Officer/Director/Trustee Four

ROBIN MARTIN
VICE PRESIDENT, DIRECTOR
1224 BIG ROCK ROAD
PELLA IA 50219

Officer/Director/Trustee Five

EUNICE FOLKERTS
DIRECTOR
126 SKYLINE DRIVE
KNOXVILLE IA 50138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 RICHMOND BRUCE HAUSTEIN
Signature Title TREASURER, CPA, DIRECTOR
Signature Date 5/29/18

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