FORM 1023-EZ for IOWA ASSOCIATION OF COUNTY COMMISSIONERS AND VETERANS SERVICE OFFICERS

Field Data
EIN 42-1417919
Case Number EO-2017111-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IOWA ASSOCIATION OF COUNTY COMMISSIONERS AND VETERANS SERVICE OFFICERS
Organization’s Mailing Address 207 NORTH MAIN
City LEON
State IA
ZIP 50144
Accounting period End 12
Primary contact name SAMANTHA SCHAFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY HANSEN
PRESIDENT
105 E COOLBAUGH STREET
RED OAK IA 51566

Officer/Director/Trustee Two

DENNIS ADKISSON
1ST VICE PRESIDENT
109 W MADISON
MT AYR IA 50854

Officer/Director/Trustee Three

DANIELLE DEMPSTER
2ND VICE PRESIDENT
1211 TRI VIEW AVENUE
SIOUX CITY IA 51103

Officer/Director/Trustee Four

TRACIE PEREZ
SECRETARY
114 N CHESTNUT
JEFFERSON IA 50129

Officer/Director/Trustee Five

SAMANTHA SCHAFF
TREASURER
207 N MAIN
LEON IA 50144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/1995
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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
Signature Title
Signature Date

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