FORM 1023-EZ for WAVERLY CHAMBER MUSIC SERIES

Field Data
EIN 81-5388042
Case Number EO-2017111-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAVERLY CHAMBER MUSIC SERIES
Organization’s Mailing Address 315 THIRD AVE SE
City WAVERLY
State IA
ZIP 50677-3506
Accounting period End 12
Primary contact name ERIC WACHMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHUCK KEPFORD
TREASURER
322 SECOND AVE SE
WAVERLY IA 50677-3504

Officer/Director/Trustee Two

BARBARA ZEMKE
CHAIR OF THE BOARD
1110 WOODRING DR
WAVERLY IA 50677-1511

Officer/Director/Trustee Three

TRAVIS TOLIVER
VICE CHAIR OF THE BOARD
140 AUGUSTA LANE
WAVERLY IA 50677-9258

Officer/Director/Trustee Four

PENNI PIER
SECRETARY
222 FOURTH AVE SE
WAVERLY IA 50677-3422

Officer/Director/Trustee Five

ERIC WACHMANN
ARTISTIC DIRECTOR
315 THIRD AVE SE
WAVERLY IA 50677-3506

Organization’s website
Organization’s email WAVERLYCHAMBERMUSIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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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