FORM 1023-EZ for THRIVE ACCADEMY

Field Data
EIN 85-0625284
Case Number EO-2020111-000308
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THRIVE ACCADEMY
Organization’s Mailing Address 767 80TH ST
City WEST DES MOINES
State IA
ZIP 50266-2677
Accounting period End 12
Primary contact name CHRISTINE CONWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE CONWAY
DIRECTOR - BOARD MEMBER
767 80TH ST
WEST DES MOINES IA 50266-2677

Officer/Director/Trustee Two

LISA WATTERS
BOARD MEMBER
1050 SE WESTWOODS DR
WAUKEE IA 50263-8207

Officer/Director/Trustee Three

KYLENE SIMPSON
BOARD MEMBER
1415 SE PRIMROSE LN
WAUKEE IA 50253-8208

Organization’s website
Organization’s email THRIVEACADEMYIA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
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 No
Correctness Declaration Yes
Signature Name CHRISTINE CONWAY
Signature Title DIRECTOR - BOARD MEMBER
Signature Date 4/17/2020

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