| Field | Data |
|---|---|
| EIN | 47-2040580 |
| Case Number | EO-2016152-000284 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LIVE WELL MONTGOMERY COUNTY |
| Organization’s Mailing Address | 2301 EASTERN AVE |
| City | RED OAK |
| State | IA |
| ZIP | 51566 |
| Accounting period End | 12 |
| Primary contact name | NICOLE RENGSTORF |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
NICOLE RENGSTORF
CHAIR
1507 BLUEGRASS RD
RED OAK IA 51566
PAUL GRIFFEN
SECRETARY
1020 BOUNDARY
RED OAK IA 51566
DOUG RIEKEN
TREASURER
1109 CIRCLE DRIVE
RED OAK IA 51566
LARRY BRANDSTETTER
MEMBER
5 ROBIN HILL LANE
RED OAK IA 51566
MIKE WEBB
MEMBER
4 ROBIN HILL LANE
RED OAK IA 51566
| Organization’s website | |
|---|---|
| Organization’s email | NRENGSTORF@MCMH.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/29/2016 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S21 - Community Coalitions |
| Organization’s purpose | Charitable: Yes 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 | 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 | |
| Signature Title | |
| Signature Date |
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