FORM 1023-EZ for SIOUX CITY COMMUNITY SUPPORT

Field Data
EIN 84-4390572
Case Number EO-2020038-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIOUX CITY COMMUNITY SUPPORT
Organization’s Mailing Address 405 6TH STREET ROOM 305
City SIOUX CITY
State IA
ZIP 51101
Accounting period End 6
Primary contact name JILL WANDERSCHEID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL WANDERSCHEID
PRESIDENT
6531 PALM VALLEY DRIVE
SIOUX CITY IA 51106

Officer/Director/Trustee Two

AMY KEAIRNS
BOARD MEMBER
4544 COUNTRY CLUB BOULEVARD
SIOUX CITY IA 51104

Officer/Director/Trustee Three

CLARA MACFARLANE
BOARD MEMBER
3218 PIERCE STREET
SIOUX CITY IA 51104

Officer/Director/Trustee Four

DARLYNN MCMULLEN
BOARD MEMBER
2375 252ND STREET
HORNICK IA 51026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 JILL WANDERSCHEID
Signature Title PRESIDENT
Signature Date 2/5/2020

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