FORM 1023-EZ for GUTHRIE COUNTY CHAPLAINS ASSOCIATION

Field Data
EIN 83-3397345
Case Number EO-2019214-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUTHRIE COUNTY CHAPLAINS ASSOCIATION
Organization’s Mailing Address 208 IRON CREEK ROAD
City PANORA
State IA
ZIP 50216
Accounting period End 12
Primary contact name DAVID R VAN AHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID VAN AHN
PRESIDENT
4202 CLOVER DRIVE
PANORA IA 50216

Officer/Director/Trustee Two

MARTY ARGANBRIGHT
VICE-PRESIDENT
200 NORTH 5TH STREET
GUTHRIE CENTER IA 50115

Officer/Director/Trustee Three

DENNIS PATRICK
TREASURER
707 GRAND STREET
GUTHRIE CENTER IA 50115

Officer/Director/Trustee Four

DWIGHT DINKLA
SECRETARY
5111 KAREN DRIVE
PANORA IA 50216

Officer/Director/Trustee Five

CRAIG TWIGG
DIRECTOR
506 PRAIRIE STREET
GUTHRIE CENTER IA 50115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/18
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID VAN AHN
Signature Title PRESIDENT
Signature Date 7/31/19

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