FORM 1023-EZ for PHILLIPS COMMUNITY FOUNDATION INC

Field Data
EIN 46-3200035
Case Number EO-2016132-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHILLIPS COMMUNITY FOUNDATION INC
Organization’s Mailing Address 138 HAMILTON STREET
City PHILLIPS
State NE
ZIP 68865
Accounting period End 12
Primary contact name FRANCIS MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARVIN ZIOLA
PRESIDENT
138 HAMILTON STREET
PHILLIPS NE

Officer/Director/Trustee Two

RUSS PEARD
SECRETARY/TREASURER
308 WEST 14 ROAD
PHILLIPS NE

Officer/Director/Trustee Three

FRANCIS MCDONALD
DIRECTOR
1607 NORTH F ROAD
PHILLIPS NE

Officer/Director/Trustee Four

DWAYNE BERGMARK
DIRECTOR
143 EAST STREET
PHILLIPS NE

Officer/Director/Trustee Five

ALAN CARRIKER
DIRECTOR
1304 NORTH G ROAD
PHILLIPS NE

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2013
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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
Signature Title
Signature Date

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