FORM 1023-EZ for NAPHTALIS TRIBE

Field Data
EIN 85-0662128
Case Number EO-2020101-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAPHTALIS TRIBE
Organization’s Mailing Address 18134 21ST AVE
City MONMOUTH
State IA
ZIP 52309
Accounting period End 12
Primary contact name KEISHA BRUNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEISHA BRUNS
PRESIDENT/CEO
18134 21ST AVE
MONMOUTH IA 52309

Officer/Director/Trustee Two

WENDY DESHAW
TREASURER/CFO
13535 RAMSEY RD
ANAMOSA IA 52205

Officer/Director/Trustee Three

KRIS SABERS-SULLIVAN
SECRETARY
520 W WASHINGTON ST
DODGEVILLE WI 53533

Organization’s website
Organization’s email NAPHTALISTRIBE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEISHA BRUNS
Signature Title PRESIDENT/CEO
Signature Date 4/8/2020

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