FORM 1023-EZ for BOONE COUNTY DIALYSIS FOUNDATION INC

Field Data
EIN 27-3069579
Case Number EO-2021025-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOONE COUNTY DIALYSIS FOUNDATION INC
Organization’s Mailing Address 552 JUTE AVENUE
City BOONE
State IA
ZIP 50036
Accounting period End 12
Primary contact name STEVEN D DUNCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE DUNCAN
DIRECTOR
552 JUTE AVENUE
BOONE IA 50036

Officer/Director/Trustee Two

BEN DORAN
DIRECTOR
809 8TH STREET
BOONE IA 50036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2010
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEVE DUNCAN
Signature Title DIRECTOR
Signature Date 11/24/2020

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