FORM 1023-EZ for JORDAN VALLEY BIBLE CHURCH

Field Data
EIN 82-2163149
Case Number EO-2018254-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JORDAN VALLEY BIBLE CHURCH
Organization’s Mailing Address 23654 PLUM AVENUE
City CASTANA
State IA
ZIP 51010
Accounting period End 12
Primary contact name DIXIE MELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE BIELENBERG
PRESIDENT
23654 PLUM AVENUE
CASTANA IA 51010

Officer/Director/Trustee Two

ROCKY MELTON
VICE PRESIDENT
23960 COUNTY HWY L20
CASTANA IA 51010

Officer/Director/Trustee Three

LOREN LANTZ
SECRETARY
38968 310TH ST
MOORHEAD IA 51558

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 STEVE BIELENBERG
Signature Title PRESIDENT
Signature Date 9/7/18

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