FORM 1023-EZ for CSCR INC

Field Data
EIN 47-3797170
Case Number EO-2015117-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CSCR INC
Organization’s Mailing Address PO BOX 3003
City SIOUX CITY
State IA
ZIP 51102
Accounting period End 12
Primary contact name JOHN OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN OLSON
PRESIDENT, DIRECTOR
3113 ORLEANS AVE
SIOUX CITY IA 51106

Officer/Director/Trustee Two

DON REESE
SECRETARY, DIRECTOR
1005 S GLASS ST
SIOUX CITY IA 51106

Officer/Director/Trustee Three

NORMA PETERSEN
TREASURER, DIRECTOR
3209 21ST ST
SIOUX CITY IA 51105

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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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