FORM 1023-EZ for DES MOINES CHILDRENS MUSEUM

Field Data
EIN 82-0923204
Case Number EO-2017093-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DES MOINES CHILDRENS MUSEUM
Organization’s Mailing Address 2718 GLENWOOD DR
City DES MOINES
State IA
ZIP 50321
Accounting period End 12
Primary contact name JOE LANCASTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE BURTNETTE
DIRECTOR
14101 LAKE POINTE DR
CLIVE IA 50325-8307

Officer/Director/Trustee Two

LAURA JOHNSON
DIRECTOR
2718 GLENWOOD DR
DES MOINES IA 50321-1533

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A52 - Children's Museums
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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