FORM 1023-EZ for WELLSPRING MISSIONS

Field Data
EIN 35-2493302
Case Number EO-2014256-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELLSPRING MISSIONS
Organization’s Mailing Address 2506 S 8TH STREET
City MARSHALLTOWN
State IA
ZIP 50158
Accounting period End 12
Primary contact name GREGORY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREGORY BROWN
PRESIDENT
707 CIRCLE DRIVE
MARSHALLTOWN IA 50158

Officer/Director/Trustee Two

SHERYL EISENBEIS
TREASURER
2506 S 8TH STREET
MARSHALLTOWN IA 50158

Officer/Director/Trustee Three

SUZANNE BROWN
DIRECTOR
2506 S 8TH STREET
MARSHALLTOWN IA 50158

Officer/Director/Trustee Four

MATT STREETER
DIRECTOR
301 1ST AVENUE SOUTH
STATE CENTER IA 50247

Officer/Director/Trustee Five

MICHAEL DONAHEY
DIRECTOR
212 NORTH 7TH STREET
MARSHALLTOWN IA 50158

Organization’s website WELLSPRINGMISSIONS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2013
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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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