FORM 1023-EZ for FRIENDS OF CORALVILLE LAKE

Field Data
EIN 81-2951410
Case Number EO-2016190-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CORALVILLE LAKE
Organization’s Mailing Address 115 BAYBERRY
City NORTH LIBERTY
State IA
ZIP 52317
Accounting period End 12
Primary contact name DERRICK PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK PARKER
PRESIDENT
115 BAYBERRY
NORTH LIBERTY IA 52317

Officer/Director/Trustee Two

MICHAEL MCCURRY
SECRETARY
2030 FIRST AVE NE APT 116
CEDAR RAPIDS IA 52402

Officer/Director/Trustee Three

TOM MOORE
DIRECTOR
2115 LAKE VIEW RIDGE NE
SOLON IA 52333

Officer/Director/Trustee Four

JASON STARKE
MARKETING DIRECTOR
1212 SADLER
NORTH LIBERTY IA 52317

Organization’s website N/A
Organization’s email FRIENDSOFCORALVILLELAKE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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