FORM 1023-EZ for PEACE HOMESCHOOL GROUP INC

Field Data
EIN 47-4782015
Case Number EO-2015231-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEACE HOMESCHOOL GROUP INC
Organization’s Mailing Address 835 197TH PLACE
City PELLA
State IA
ZIP 50219
Accounting period End 7
Primary contact name ROBERT WARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT WARNER
DIRECTOR, TREASURER
835 197TH PLACE
PELLA IA 50219

Officer/Director/Trustee Two

RICK COWMAN
DIRECTOR, PRESIDENT
236 72ND AVE
MONROE IA 50170

Officer/Director/Trustee Three

GEORGE BLOM
DIRECTOR, VICE PRESIDENT
2410 DAKOTA DRIVE
PELLA IA 50219

Organization’s website WWW.PEACEHOMESCHOOL.COM
Organization’s email LEADERSHIP@PEACEHOMESCHOOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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