FORM 1023-EZ for TRAILBLAZERS OF THE HEARTLAND

Field Data
EIN 27-5239293
Case Number EO-2014337-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRAILBLAZERS OF THE HEARTLAND
Organization’s Mailing Address 17331 LIME KILN ROAD
City CRESCENT
State IA
ZIP 51526
Accounting period End 12
Primary contact name DAVID SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID SMITH
PRESIDENT
17331 LIME KILN RD
CRESCENT IA 51526

Officer/Director/Trustee Two

DAN HAGEN
VICE PRESIDENT
131 CHARLES PARK DR
COUNCIL BLUFFS IA 51503

Officer/Director/Trustee Three

CHRISTY HAGEN
SECRETARY
131 CHARLES PARK DR
COUNCIL BLUFFS IA 51503

Officer/Director/Trustee Four

SHERI SMITH
TREASURER
17331 LIME KILN RD
CRESCENT IA 51526

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2011
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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