FORM 1023-EZ for FRIENDS OF CALHOUN COUNTY CANINE SHELTER

Field Data
EIN 82-1484803
Case Number EO-2020090-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF CALHOUN COUNTY CANINE SHELTER
Organization’s Mailing Address 213 ELM ST
City ROCKWELL CITY
State IA
ZIP 50579
Accounting period End 6
Primary contact name SHELLY SCHOSSOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE HOSEK
BOARD MEMBER
2611 TRAER AVE
ROCKWELL CITY IA 50579

Officer/Director/Trustee Two

JUNE MCGOWEN
BOARD MEMBER
157 E PLEASANT
ROCKWELL CITY IA 50570

Officer/Director/Trustee Three

JILL HEISTERKAMP
BOARD MEMBER
840 RICHMOND ST
ROCKWELL CITY IA 50579

Officer/Director/Trustee Four

SHELLY SCHOSSOW
BOARD PRESIDENT
213 ELM ST
ROCKWELL CITY IA 50579

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHELLY SCHOSSOW
Signature Title BOARD PRESIDENT
Signature Date 3/26/2020
EIN 82-1484803
Case Number EO-2017194-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CALHOUN COUNTY CANINE SHELTER
Organization’s Mailing Address 213 N ELM ST
City ROCKWELL CITY
State IA
ZIP 50579
Accounting period End 6
Primary contact name SHELLY SCHOSSOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE HOSEK
BOARD MEMBER
2611 TRAER AVE
ROCKWELL CITY IN 50579

Officer/Director/Trustee Two

JUNE MCGOWEN
BOARD MEMBER
157 E PLEASANT
ROCKWELL CITY IN 50579

Officer/Director/Trustee Three

JILL HEISTERKAMP
BOARD MEMBER
501 COURT ST
ROCKWELL CITY IA 50579

Officer/Director/Trustee Four

SHELLY SCHOSSOW
BOARD PRESIDENT
213 N ELM ST
ROCKWELL CITY IA 50579

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - 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 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
Signature Title
Signature Date

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