FORM 1023-EZ for GREEN MOUNTAIN COMMUNITY PARK INC

Field Data
EIN 42-1145388
Case Number EO-2021259-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN MOUNTAIN COMMUNITY PARK INC
Organization’s Mailing Address 2953 195TH STREET
City MARSHALLTOWN
State IA
ZIP 50158
Accounting period End 4
Primary contact name LYNN BEICHLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANREW MICHELS
PRESIDENT
2952 195TH STREET
MARSHALLTOWN IA 50158

Officer/Director/Trustee Two

JOHN WARDEN
SECRETARY
407 GREEN MOUNTAIN ROAD
GREEN MOUNTAIN IA 50632

Officer/Director/Trustee Three

LYNN BEICHLEY
TREASURER
1662 YATES AVENUE
MARSHALLTOWN IA 50158

Organization’s website
Organization’s email TOLEDOLAW@MEDIACOMBB.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/1980
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYNN BEICHLEY
Signature Title TREASURER
Signature Date 9/14/2021

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