FORM 1023-EZ for INFANTILE SPASMS COMMUNITY

Field Data
EIN 47-1680987
Case Number EO-2014240-000544
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INFANTILE SPASMS COMMUNITY
Organization’s Mailing Address 21213 SCHOFIELD DR
City GRETNA
State NE
ZIP 68028
Accounting period End 12
Primary contact name MIKE BARTENHAGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE BARTENHAGEN
PRESIDENT
21213 SCHOFIELD DR
GRETNA NE 68028

Organization’s website ISCOMMUNITY.ORG
Organization’s email MIKE@ISCOMMUNITY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2013
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G54 - Epilepsy
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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