FORM 1023-EZ for CEDAR RAPIDS METRO PARKINSONS ASSOCIATION

Field Data
EIN 82-2808155
Case Number EO-2017292-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CEDAR RAPIDS METRO PARKINSONS ASSOCIATION
Organization’s Mailing Address PO BOX 9412
City CEDAR RAPIDS
State IA
ZIP 52409
Accounting period End 10
Primary contact name KRIS CAMERON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN KRUMBHOLZ
BOARD DIRECTOR
631 CONCORD LANE NW
CEDAR RAPIDS IA 52405

Officer/Director/Trustee Two

VONNIE ANDRLE
BOARD CO-DIRECTOR
418 LINN STREET
FAIRFAX IA 52233

Officer/Director/Trustee Three

DONALD CARPENTER
BOARD CO-DIRECTOR
2715 IRIS AVE NW
CEDAR RAPIDS IA 52405

Officer/Director/Trustee Four

SAMANTHA KRUMBHOLZ
BOARD MEMBER
631 CONCORD LANE NW
CEDAR RAPIDS IA 52405

Officer/Director/Trustee Five

KRISTY CAMERON
ADMINISTRATOR
1011 HILL DR SE
CEDAR RAPIDS IA 52403

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 Yes
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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