FORM 1023-EZ for IOWA ACADEMIC DECATHLON ASSOCIATION

Field Data
EIN 42-1269712
Case Number EO-2016251-000444
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IOWA ACADEMIC DECATHLON ASSOCIATION
Organization’s Mailing Address 160 OAKRIDGE AVENUE
City IOWA CITY
State IA
ZIP 52246
Accounting period End 12
Primary contact name TYSON SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANCE HUSAK
PRESIDENT
575 S FAIRFAX ST APT 3A
DENVER CO 80246

Officer/Director/Trustee Two

TYSON SMITH
TREASURER
160 OAKRIDGE AVE
IOWA CITY IA 52246

Officer/Director/Trustee Three

JOLENE TESKE
STATE DIRECTOR
26567 225 STREET
ELDORA IA 50627

Officer/Director/Trustee Four

DON OSTERHAUS
SECRETARY
306 EAST H AVE
GRUNDY CENTER IA 50638

Organization’s website HTTPS://SITES.GOOGLE.COM/SITE/IAACADEMICDECATHLON/
Organization’s email IOWAACADEMICDECATHLON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/1986
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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