FORM 1023-EZ for LEADERSHIP SIOUXLAND

Field Data
EIN 42-1296836
Case Number EO-2015306-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADERSHIP SIOUXLAND
Organization’s Mailing Address 701 PIERCE ST
City SIOUX CITY
State IA
ZIP 51101
Accounting period End 5
Primary contact name AMANDA BELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRENDA NOLL-NORVELL
BOARD PRESIDENT
3300 PAWNEE PLACE
SIOUX CITY IA 51104

Officer/Director/Trustee Two

SHAWN FICK
VICE PRESIDENT
1930 DEPAUL AVE
VERMILLION IA 57069

Officer/Director/Trustee Three

SUSAN GEORGE
TREASURER
5001 RAVINE PARK LANE
SIOUX CITY SD 51106

Officer/Director/Trustee Four

CHARLOTTE NELSON
SECRETARY
4840 MAYHEW AVE
SIOUX CITY IA 51106

Officer/Director/Trustee Five

TONYA VAKULSKAS
IMMEDIATE PAST PRESIDENT
4412 CROWN POINT CT
SIOUX CITY IA 51106

Organization’s website WWW,LEADERSHIPSIOUXLAND.ORG
Organization’s email INFO@LEADERSHIPSIOUXLAND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/1986
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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