FORM 1023-EZ for BIG LITTLE TOWN REVITALIZATION CLUB
| Field | Data |
|---|---|
| EIN | 83-1390212 |
| Case Number | EO-2018222-000224 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BIG LITTLE TOWN REVITALIZATION CLUB |
| Organization’s Mailing Address | 205 NORTH APPLE STREET |
| City | SHICKLEY |
| State | NE |
| ZIP | 68436 |
| Accounting period End | 12 |
| Primary contact name | LANCE J JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BROCK DOMEIER
DIRECTOR
205 NORTH APPLE STREET
SHICKLEY NE 68436
Officer/Director/Trustee Two
GINA KAMLER
DIRECTOR
308 NORTH APPLE STREET
SHICKLEY NE 68436
Officer/Director/Trustee Three
JACOB ZAJIC
DIRECTOR
201 NORTH PLUM STREET
SHICKLEY NE 68436
Officer/Director/Trustee Four
TODD GNUSE
DIRECTOR
202 NORTH CHERRY STREET
SHICKLEY NE 68436
Officer/Director/Trustee Five
GWEN SCHULTZ
DIRECTOR
202 NORTH APPLE STREET
SHICKLEY NE 68436
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/12/18 |
| Organization Incorporation State | NE |
| 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 | 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 | BROCK DOMEIER |
| Signature Title | DIRECTOR |
| Signature Date | 8/8/18 |
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