FORM 1023-EZ for SOUTH CENTRAL IOWA NAMI

Field Data
EIN 47-1322775
Case Number EO-2014324-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH CENTRAL IOWA NAMI
Organization’s Mailing Address 411 NORTH MAIN STREET
City CENTERVILLE
State IA
ZIP 52544
Accounting period End 12
Primary contact name VIRGINIA DEWEY MCCONVILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEWEY MCCONVILLE
PRESIDENT
21128 INDIGO LANE
Unionville MO 63565

Officer/Director/Trustee Two

JIM POWER
VICE PRESIDENT
824 SOUTH MAIN STREET
CENTERVILLE IA 52544

Officer/Director/Trustee Three

DEBBIE MILLER
SECRETARY
514 E OAK STREET
CENTERVILLE IA 52544

Officer/Director/Trustee Four

NANCY MILLER
TREASURER
318 N 21ST STREET
UNIONVILLE MO 63565

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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