FORM 1023-EZ for CAMDENS CAUSE

Field Data
EIN 82-5320018
Case Number EO-2018117-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMDENS CAUSE
Organization’s Mailing Address 2701 PALM STREET
City ATLANTIC
State IA
ZIP 50022
Accounting period End 12
Primary contact name GARY VAN ERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHELSIE VAN ERT
DIRECTOR
2701 PALM STREET
ATLANTIC IA 50022

Officer/Director/Trustee Two

GARY VAN ERT
DIRECTOR
2701 PALM STREET
ATLANTIC IA 50022

Officer/Director/Trustee Three

JANELL HANSEN
DIRECTOR
2731 BLUEBIRD PLACE
ELK HORN IA 51531

Officer/Director/Trustee Four

NATHAN ROSS
DIRECTOR
804 LINDA DRIVE
ATLANTIC IA 50022

Officer/Director/Trustee Five

ERIKA VAN CLEAVE
DIRECTOR
1603 OAK STREET
ATLANTIC IA 50022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
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 GARY VAN ERT
Signature Title DIRECTOR
Signature Date 4/25/18

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