FORM 1023-EZ for AFTER PROM PARENT ORGANIZATION

Field Data
EIN 46-5526411
Case Number EO-2015258-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AFTER PROM PARENT ORGANIZATION
Organization’s Mailing Address 10484 250TH AVE
City WELDON
State IA
ZIP 50264
Accounting period End 7
Primary contact name LEANN SEVERNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUE BRIMM
PRESIDENT
207 3RD AVE WEST
WELDON IA 50264

Officer/Director/Trustee Two

BILL JORGENSON
VICE PRESIDENT
2379 240TH AVE
OSCEOLA IA 50213

Officer/Director/Trustee Three

LEANN SEVERNS
SECRETARY/TREASURER
10484 250TH AVE
WELDON IA 50264

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2014
Organization Incorporation State
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 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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