FORM 1023-EZ for WELCOME MAT 25-40 INC

Field Data
EIN 45-5069514
Case Number EO-2014345-000390
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELCOME MAT 25-40 INC
Organization’s Mailing Address 2598 STEWART ROAD
City MUSCATINE
State IA
ZIP 52761
Accounting period End 12
Primary contact name BECKY BARTENHAGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETE KORPI
PRESIDENT
315 WOOD CREEK LANE
MUSCATINE IA 52761

Officer/Director/Trustee Two

REBECCA BARTENHAGEN
TREASURER
18284 G AVENUE
MUSCATINE IA 52761

Officer/Director/Trustee Three

TERESA WILSON
DIRECTOR
17564 COUNTY RD X61
MUSCATINE IA 52761

Officer/Director/Trustee Four

TOM BUSER
DIRECTOR
2482 FREEDOM CIRCLE
LETTS IA 52754

Officer/Director/Trustee Five

PATRICIA BUSER
DIRECTOR
2482 FREEDOM CIRCLE
LETTS IA 54754

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2013
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
One Third Support Gifts Yes
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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