FORM 1023-EZ for OMAHA BURKE SOFTBALL BOOSTER CLUB

Field Data
EIN 87-1068508
Case Number EO-2021216-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMAHA BURKE SOFTBALL BOOSTER CLUB
Organization’s Mailing Address 14939 BUTLER AVE
City OMAHA
State NE
ZIP 68116
Accounting period End 12
Primary contact name TROY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY ANDERSON
PRESIDENT
14939 BUTLER AVE
OMAHA NE 68116

Officer/Director/Trustee Two

AMY SHAW
VICE-PRESIDENT
4202 N 157TH AVE
OMAHA NE 68116

Officer/Director/Trustee Three

BROCK JOHNSON
SECRETARY & TREASURER
4638 N 139TH AVE
OMAHA NE 68164

Organization’s website
Organization’s email OMAHABURKESOFTBALLBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2021
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
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 TROY ANDERSON
Signature Title PRESIDENT
Signature Date 8/2/2021

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