FORM 1023-EZ for FYIMI SCHOLARSHIP FOUNDATION

Field Data
EIN 82-4361783
Case Number EO-2018107-000715
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FYIMI SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 901 ELMHURST DRIVE
City PAPILLION
State NE
ZIP 68046
Accounting period End 12
Primary contact name PETER KENNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNY BURSON
CEO
2226 WASHINGTON STREET
DENVER CO 80205

Officer/Director/Trustee Two

JOE SMITHBERG
COO
6236 SOUTH 107TH STREET
OMAHA NE 68127

Officer/Director/Trustee Three

JON MARION
CTO
11007 EDGEWATER DRIVE
PAPILLION NE 68046

Officer/Director/Trustee Four

MATT HILL
CFO
1440 WHITEWATER DRIVE
PAPILLION NE 68046

Officer/Director/Trustee Five

PETER KENNEY
CAO
901 ELMHURST DRIVE
PAPILLION NE 68046

Organization’s website CRUSADERSALUMNI.COM
Organization’s email INFO@CRUSADERSALUMNI.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 PETER KENNEY
Signature Title CAO
Signature Date 3/27/18

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