FORM 1023-EZ for MHS BOBCAT ALUMNI FUND INC

Field Data
EIN 83-1525606
Case Number EO-2018239-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MHS BOBCAT ALUMNI FUND INC
Organization’s Mailing Address 2996 187TH STREET
City PROLE
State IA
ZIP 50229
Accounting period End 12
Primary contact name WILLIAM ROBAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEW MILLER
PRESIDENT & DIRECTOR
2050 CEDARWOOD PLACE
ERIE CO 80516

Officer/Director/Trustee Two

LYLE JENSEN
VICE-PRES, TREASURER & DIRECTOR
2996 187TH STREET
PROLE IA 50229

Officer/Director/Trustee Three

BILL WILSON
SECRETARY & DIRECTOR
208 HUISMAN CIRCLE
MARSHALLTOWN IA 50158

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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 Yes
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 LYLE JENSEN
Signature Title VICE PRESIDENT & DIRECTOR
Signature Date 8/23/18

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