FORM 1023-EZ for HIS WORK OUR HANDS

Field Data
EIN 82-4597277
Case Number EO-2019238-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS WORK OUR HANDS
Organization’s Mailing Address 119 VINE ST
City CAMBRIDGE
State IA
ZIP 50046
Accounting period End 12
Primary contact name KURT CEYNAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONDA CEYNAR
PRESIDENT
119 VINE ST
CAMBRIDGE IA 50046

Officer/Director/Trustee Two

RICKY BAARDA
MEMBER AT LARGE
215 2ND
CAMBRIDGE IA 50046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: No
Religious: Yes
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 RONDA CEYNAR
Signature Title PRESIDENT
Signature Date 8/22/19

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