FORM 1023-EZ for JEWEL BOX QUILTERS GUILD

Field Data
EIN 39-1889031
Case Number EO-2015138-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEWEL BOX QUILTERS GUILD
Organization’s Mailing Address PO BOX 374
City GRINNELL
State IA
ZIP 50112
Accounting period End 6
Primary contact name CATHY SHUTTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOROTHY MARTINEK
PRESIDENT
412 31TH AVE
GRINNELL IA 50112

Officer/Director/Trustee Two

SHARON FALCK
PRES ELECT
2009 EDMUNDSON DR
OSKALOOSA IA 52577

Officer/Director/Trustee Three

SANDY FALCK
SECRETARY
5 HOBART PL
GRINNELL IA 50112

Officer/Director/Trustee Four

GRETCHEN ZIMMERMAN
TREASURER
4390 3ND ST
GRINNELL IA 50112

Officer/Director/Trustee Five

KAREN CLUTS
PROG CHAIR
306 S 10TH ST
MARSHALLTOWN IA 50158

Organization’s website NA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/1996
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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