FORM 1023-EZ for GODS GOT THIS -- SEAN NIELSEN FOUNDATION

Field Data
EIN 46-4664817
Case Number EO-2014225-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GODS GOT THIS -- SEAN NIELSEN FOUNDATION
Organization’s Mailing Address 3855 S ORILLA ROAD
City WEST DES MOINES
State IA
ZIP 50061
Accounting period End 12
Primary contact name PATRICK VINT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARLYS MCKIBBEN
PRESIDENT
3855 S ORILLA RD
WEST DES MOINES IA 50061

Officer/Director/Trustee Two

JACOB JOHNSON
VICE PRESIDENT
1708 NE 14TH CT
ANKENY IA 50021

Officer/Director/Trustee Three

KARA STRABALA
SECRETARY
5221 VILLAGE RUN AVE UNIT 404
DES MOINES IA 50317

Officer/Director/Trustee Four

WILLIAM MCKIBBEN
TREASURER
3855 S ORILLA RD
WEST DES MOINES IA 50061

Officer/Director/Trustee Five

JOSH DAGGET
CHAPLAIN
5609 SE 31ST ST
DES MOINES IA 50320-2136

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R23 - Disabled Persons' Rights
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 Yes
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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