FORM 1023-EZ for ONE2WENTY

Field Data
EIN 80-0741429
Case Number EO-2015089-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE2WENTY
Organization’s Mailing Address 3420 E 43RD
City DES MOINES
State IA
ZIP 50317
Accounting period End 12
Primary contact name PAUL VANCLEAVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARRY VANCLEAVE
BOARD MEMBER
4287 SE 17TH STREET
DES MOINES IA 50320

Officer/Director/Trustee Two

PAUL VANCLEAVE
BOARD MEMBER
3420 E 43RD STREET
DES MOINES IA 50317

Officer/Director/Trustee Three

CINDI VANCLEAVE
BOARD MEMBER
4287 SE 17TH STREET
DES MOINES IA 50320

Officer/Director/Trustee Four

JORDAN HENRY
BOARD MEMBER
250 NE 64TH STREET
PLEASANT HILL IA 50327

Officer/Director/Trustee Five

TAYLOR MALONE
BOARD MEMBER
4431 SE 5TH STREET
DES MOINES IA 50315

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2011
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
One Third Support Gifts No
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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