FORM 1023-EZ for IOWA SCHOLASTIC MTB CLUB INC

Field Data
EIN 81-5141744
Case Number EO-2021133-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IOWA SCHOLASTIC MTB CLUB INC
Organization’s Mailing Address 202 SW HERITAGE LANE
City ANKENY
State IA
ZIP 50023
Accounting period End 11
Primary contact name THOMAS J DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS DAVIS
PRESIDENT
202 SW HERITAGE LN
ANKENY IA 50023

Organization’s website WWW.IOWAMTB.COM
Organization’s email ISMTBCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, 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 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 THOMAS DAVIS
Signature Title PRESIDENT
Signature Date 5/11/2021
EIN 81-5141744
Case Number EO-2017236-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IOWA SCHOLASTIC MTB CLUB INC
Organization’s Mailing Address 9319 GOLDEN VALLEY DR
City NORWALK
State IA
ZIP 50211
Accounting period End 6
Primary contact name TONY CLEMENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM DAVIS
PRESIDENT
202 SW HERITAGE
ANKENY IA 50023

Officer/Director/Trustee Two

MATT GUMM
VICE PRESIDENT
1065 44TH STREET
DES MOINES IA 50311

Officer/Director/Trustee Three

TONY CLEMENSON
TREASURER
9319 GOLDEN VALLEY DR
NORWALK IA 50211

Officer/Director/Trustee Four

MARYANN MORI
SECRETARY
4428 AMICK AVE
DES MOINES IA 50310

Organization’s website
Organization’s email TONY@IMBMX.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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