FORM 1023-EZ for DALLAS CENTER BETTERMENT FOUNDATION

Field Data
EIN 84-2177615
Case Number EO-2020303-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DALLAS CENTER BETTERMENT FOUNDATION
Organization’s Mailing Address 502 15TH STREET PO BOX 250
City DALLAS CENTER
State IA
ZIP 50063-0250
Accounting period End 6
Primary contact name CHARLES H FAGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT GUSTAFSON
PRESIDENT
PO BOX 351
DALLAS CENTER IA 50063-0351

Officer/Director/Trustee Two

MICHELLE LEONARD
VICE-PRESIDENT
1001 WALNUT
DALLAS CENTER IA 50063

Officer/Director/Trustee Three

MELISSA BURDICK
SECRETARY
119 N 12TH STREET
ADEL IA 50003

Officer/Director/Trustee Four

BRIAN BRECHT
TREASURER
310 SW HICKORY COURT
GRIMES IA 50111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 SCOTT GUSTAFSON
Signature Title PRESIDENT
Signature Date 10/27/2020

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