FORM 1023-EZ for CLEARWATER LIBRARY CHARITABLE TRUST

Field Data
EIN 81-6211350
Case Number EO-2016014-000479
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEARWATER LIBRARY CHARITABLE TRUST
Organization’s Mailing Address P O BOX 172
City CLEARWATER
State NE
ZIP 68726
Accounting period End 12
Primary contact name LUANN SCHINDLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LUANN SCHINDLER
MEMBER
PO BOX 285
CLEARWATER NE 68726

Officer/Director/Trustee Two

JOLENE TIMM
MEMBER
PO BOX 263
CLEARWATER NE 68726

Officer/Director/Trustee Three

DAWN CURTIS
MEMBER
PO BOX 294
CLEARWATER NE 68726

Officer/Director/Trustee Four

PAUL HORMAN
MEMBER
PO BOX 92
CLEARWATER NE 68726

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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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