FORM 1023-EZ for DAVIDS DREAM INC

Field Data
EIN 83-2072667
Case Number EO-2018323-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVIDS DREAM INC
Organization’s Mailing Address 900 SE PARK ST
City GRIMES
State IA
ZIP 50111
Accounting period End 12
Primary contact name DAVID MAHIRWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MAHIRWE
PRESIDENT
900 SE PARK ST
GRIMES IA 50111

Officer/Director/Trustee Two

PATSY BATES
SECRETARY
2415 INDIANOLA AVE
DES MOINES IA 50315

Officer/Director/Trustee Three

LARRY YOUNG
TREASURER
415 PALAMINO PKWY
DES MOINES IA 50320

Officer/Director/Trustee Four

DEB CARRUTHERS
VICE PRESIDENT
4261 BERWICK DR
DES MOINES IA 50320

Officer/Director/Trustee Five

FREDDY SENZARA
BOARD MEMBER
900 SE PARK ST
GRIMES IA 50111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
Conducting Activities Outside of United States Yes
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 DAVID MAHIRWE
Signature Title PRESIDENT
Signature Date 11/15/18

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