FORM 1023-EZ for ELAINE M LANE TESTAMENTARY TRUST

Field Data
EIN 61-6573283
Case Number EO-2018029-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELAINE M LANE TESTAMENTARY TRUST
Organization’s Mailing Address 300 N MAIN ST
City CHARLES CITY
State IA
ZIP 50616
Accounting period End 12
Primary contact name JUDITH M ODONOHOE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROXANNE CAREY
TRUST OFFICER
300 N MAIN ST
CHARLES CITY IA 50616

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROXANNE CAREY
Signature Title TRUST OFFICER
Signature Date 1/25/18

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