FORM 1023-EZ for CLIMB

Field Data
EIN 47-4723841
Case Number EO-2015289-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLIMB
Organization’s Mailing Address 5303 BENT TREE CT NE
City CEDAR RAPIDS
State IA
ZIP 52411
Accounting period End 12
Primary contact name MATTHEW M SPADING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW SPADING
DIRECTOR
5303 BENT TREE CT NE
CEDAR RPIDS IA 52411

Officer/Director/Trustee Two

PATRICIA SPADING
DIRECTOR
5303 BENT TREE CT NE
CEDAR RAPIDS IA 52411

Officer/Director/Trustee Three

DEANNA FAUBUS
DIRECTOR
803 NORTH 5TH AVE
HUXLEY IA 50124

Officer/Director/Trustee Four

BILLY FAUBUS
DIRECTOR
803 NORTH 5TH AVE
HUXLEY IA 50124

Officer/Director/Trustee Five

ALLAN SHINDELAR
DIRECTOR
3265 120TH ST
WAUCOMA IA 52171

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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