FORM 1023-EZ for GIVING BACK OUTDOORS

Field Data
EIN 85-2065379
Case Number EO-2020209-000907
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIVING BACK OUTDOORS
Organization’s Mailing Address 521 EAST LOCUST STREET SUITE 302
City DES MOINES
State IA
ZIP 50309
Accounting period End 6
Primary contact name DELMAR R MOHLER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE MCCARTY
MANAGER
8684 STONEBERRY DRIVE
WEST DES MOINES IA 50266-8337

Officer/Director/Trustee Two

BRADLY HANAWALT
MANAGER
3816 SW 26TH ST
DES MOINES IA 50321-2110

Officer/Director/Trustee Three

CARLOS ORTIZ
MANAGER
15044 BLUE STREET
CARLISLE IA 50047-3159

Officer/Director/Trustee Four

MATT VANWYHE
MANAGER
1902 NW 89TH STREET
CLIVE IA 50325-5456

Officer/Director/Trustee Five

DYLAN CAREW
MANAGER
2179 MICHELLE LANE
CORALVILLE IA 52241-1488

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 JULIE MCCARTY
Signature Title MANAGER
Signature Date 7/21/2020

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