FORM 1023-EZ for JOHNSON COUNTY AFFORDABLE HOUSING COALITION

Field Data
EIN 81-3048753
Case Number EO-2016270-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHNSON COUNTY AFFORDABLE HOUSING COALITION
Organization’s Mailing Address 205 BLACK SPRINGS CIRCLE
City IOWA CITY
State IA
ZIP 52246
Accounting period End 6
Primary contact name SALLY JENNEY SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK SIGNS
PRESIDENT, BOARD OF DIRECTORS
70 STURGIS CORNER DRIVE
IOWA CITY IA 52246-5602

Officer/Director/Trustee Two

MARYANN DENNIS
VICE PRESIDENT, BOARD OF DIRECTORS
322 EAST 2ND STREET
IOWA CITY IA 52240-4501

Officer/Director/Trustee Three

MARK PATTON
SECRETARY, BOARD OF DIRECTORS
2401 SCOTT BLVD
IOWA CITY IA 52240-8132

Officer/Director/Trustee Four

TRACEY ACHENBACH
TREASURER, BOARD OF DIRECTORS
322 EAST 2ND STREET
IOWA CITY IA 52240-4501

Officer/Director/Trustee Five

SALLY SCOTT
EXECUTIVE DIRECTOR
205 BLACK SPRINGS CIRCLE
IOWA CITY IA 52246-3801

Organization’s website HTTP://WWW.JCAFFORDABLEHOMES.ORG/
Organization’s email JCAFFORDABLEHOUSING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L01 - Alliance/Advocacy Organizations
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 Yes
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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