FORM 1023-EZ for MIKLUS FAMILY SCHOLARSHIP

Field Data
EIN 84-1796457
Case Number EO-2021207-000586
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIKLUS FAMILY SCHOLARSHIP
Organization’s Mailing Address 12207 150TH AVE
City INDIANOLA
State IA
ZIP 50125
Accounting period End 4
Primary contact name LUANN MIKLUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUANN MIKLUS
PRESIDENT
12207 150TH AVE
INDIANOLA IA 50125

Officer/Director/Trustee Two

WILLIE MIKLUS
TREASURER
12207 150TH AVE
INDIANOLA IA 50125

Officer/Director/Trustee Three

TIM MIKLUS
DIRECTOR
12207 150TH AVE
INDIANOLA IA 50125

Officer/Director/Trustee Four

ERIN MIKLUS
SECRETARY
12207 150TH AVE
INDIANOLA IA 50125

Officer/Director/Trustee Five

SEAN MIKLUS
DIRECTOR
12207 150TH AVE
INDIANOLA IA 50125

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LUANN MIKLUS
Signature Title PRESIDENT
Signature Date 7/24/2021

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