FORM 1023-EZ for RAISING ARROWS HOMESCHOOL ORGANIZATION INC

Field Data
EIN 81-3560292
Case Number EO-2017041-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAISING ARROWS HOMESCHOOL ORGANIZATION INC
Organization’s Mailing Address 1910 NW 9TH ST
City ANKENY
State IA
ZIP 50023
Accounting period End 4
Primary contact name LISA PETERSON-BURCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN NOTEBOOM
PRESIDENT
4312 SW MAPLE CT
ANKENY IA 50023

Officer/Director/Trustee Two

LISA PETERSON-BURCH
TREASURER
1910 NW 9TH ST
ANKENY IA 50023

Officer/Director/Trustee Three

JESSICA HILTON
VICE PRESIDENT
5322 SE 25TH ST
DES MOINES IA 50320

Officer/Director/Trustee Four

HEATHER PUNKE
SECRETARY
407 SW LOGAN ST
ANKENY IA 50023

Officer/Director/Trustee Five

JESSICA PENNINGS
ADVISOR, OFFICER
5012 NW 4TH ST
ANKENY IA 50023

Organization’s website WWW.HOMESCHOOL-LIFE.COM/IA/RAISINGARROWS/
Organization’s email LISARPB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: No
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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