FORM 1023-EZ for COMMUNITY FOUNDATION OF WASHINGTON COUNTY

Field Data
EIN 81-3651250
Case Number EO-2017243-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY FOUNDATION OF WASHINGTON COUNTY
Organization’s Mailing Address 831 SOUTH 13TH AVENUE
City WASHINGTON
State IA
ZIP 52353
Accounting period End 12
Primary contact name MILLIE YOUNQUIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON G YODER
PRESIDENT
504 K CT
KALONA IA 52247

Officer/Director/Trustee Two

ED RABER
VICE PRESIDENT
518 SOUTH IOWA AVENUE
WASHINGTON IA 52353

Officer/Director/Trustee Three

CATHY RICH
SECRETARY/TREASURER
PO BOX 214
BRIGHTON IA 52540

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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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