FORM 1023-EZ for FRIENDS OF MINE

Field Data
EIN 81-1374178
Case Number EO-2016188-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF MINE
Organization’s Mailing Address 306 3RD AVE
City MELBOURNE
State IA
ZIP 50162
Accounting period End 12
Primary contact name SHARON MABIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON MABIE
PRESIDENT
306 3RD AVE
MELBOURNE IA 50162

Officer/Director/Trustee Two

CHAD WITTE
VICE-PRESIDENT
2833 EAST PORTER AVE
DES MOINES IA 50320

Officer/Director/Trustee Three

RENAE MABIE
TREASURER
607 1ST ST SOUTH
NEWTON IA 50208

Officer/Director/Trustee Four

CATHERINE HOLDSWORTH
SECRETARY
615 WEST 68TH STREET SOUTH
NEWTON IA 50208

Organization’s website HTTP://WWW.WITHFRIENDSOFMINE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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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