FORM 1023-EZ for AHSTW COMMUNITY ASSISTANCE PROGRAMS

Field Data
EIN 81-1674897
Case Number EO-2016266-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AHSTW COMMUNITY ASSISTANCE PROGRAMS
Organization’s Mailing Address PO BOX 285
City AVOCA
State IA
ZIP 51521-0285
Accounting period End 12
Primary contact name CAROL KYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL KYLE
PRESIDENT
1208 N SKYLINE DRIVE
AVOCA IA 51521-0006

Officer/Director/Trustee Two

DEB MEISSNER
VICE PRESIDENT
302 N CHERRY STREET
AVOCA IA 51521

Officer/Director/Trustee Three

KIM BUCK
TREASURER
119 HAZEL ROAD
SHELBY IA 51570

Officer/Director/Trustee Four

SHEILA RIHNER
SECRETARY
8 MAPLEWOOD COURT
SHELBY IA 51570

Officer/Director/Trustee Five

EMJ JACKLE-HUGH
DIRECTOR
PO BOX 51
AVOCA IA 51521-0051

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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