FORM 1023-EZ for KEOKUK COUNTY SENIOR CENTER

Field Data
EIN 80-0498231
Case Number EO-2020024-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEOKUK COUNTY SENIOR CENTER
Organization’s Mailing Address 214 S MAIN ST
City SIGOURNEY
State IA
ZIP 52591
Accounting period End 12
Primary contact name GENNA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GENNA MOORE
PRESIDENT/CHAIRPERSON
902 DELTA RD
SIGOURNEY IA 52591

Officer/Director/Trustee Two

JUDY FRANK
SECRETARY/TREASURER
405 KELLEY ST
SIGOURNEY IA 52591

Officer/Director/Trustee Three

JIMMY MORLAN
VICE PRESIDENT
302 S JEFFERSON
SIGOURNEY IA 52591

Officer/Director/Trustee Four

LARRY ELDRIDGE
DIRECTOR
814 E PLEASANT VALLEY ST
SIGOURNEY IA 52591

Officer/Director/Trustee Five

THOMAS SISKOW
DIRECTOR
806 CHERRY ST
SIGOURNEY IA 52591

Organization’s website NA
Organization’s email GENNA.MOORE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/1977
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
Organization’s purpose Charitable: Yes
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 No
Correctness Declaration Yes
Signature Name GENNA MOORE
Signature Title PRESIDENT/CHAIRPERSON
Signature Date 1/22/2020

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