FORM 1023-EZ for SANTEMA FAMILY CHARITABLE FOUNDATION

Field Data
EIN 36-4545097
Case Number EO-2021224-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANTEMA FAMILY CHARITABLE FOUNDATION
Organization’s Mailing Address 717 20TH AVE SE
City ROCK VALLEY
State IA
ZIP 51247
Accounting period End 12
Primary contact name JEFFERY W SANTEMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFERY SANTEMA
PRESIDENT
717 20TH AVE SE
ROCK VALLEY IA 51247

Officer/Director/Trustee Two

SHARON SANTEMA
SECRETARY
717 20TH AVE SE
ROCK VALLEY IA 51247

Organization’s website
Organization’s email JSANTEMA@PREMIERONLINE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 JEFFERY SANTEMA
Signature Title PRESIDENT
Signature Date 8/10/2021

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