FORM 1023-EZ for NORTH STAR FAMILY DEVELOPMENT CENTER

Field Data
EIN 83-2082020
Case Number EO-2018334-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH STAR FAMILY DEVELOPMENT CENTER
Organization’s Mailing Address 597 GIDDING STREET UNIT 1
City KELLEY
State IA
ZIP 50134
Accounting period End 12
Primary contact name JASMIN HIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMIN HIGGINS
PRESIDENT
597 GIDDING STREET UNIT 1
KELLEY IA 50134

Officer/Director/Trustee Two

MARC FORD
VICE- PRESIDENT
597 GIDDING STREET UNIT 1
KELLEY IA 50134

Officer/Director/Trustee Three

ERIN CUMINGS
DIRECTOR
1100 LOCUST STREET D1-45-3005
DES MOINES IA 20391

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 Yes
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 MARC FORD
Signature Title VICE- PRESIDENT
Signature Date 11/28/18

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