FORM 1023-EZ for BLACKSTONE BUSINESS ASSOCIATION

Field Data
EIN 47-3928523
Case Number EO-2016141-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACKSTONE BUSINESS ASSOCIATION
Organization’s Mailing Address 3924 FARNAM STREET
City OMAHA
State NE
ZIP 68131
Accounting period End 12
Primary contact name JOHN R FAHRER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE CLEVELAND
PRESIDENT
6925 STARLITE DRIVE
OMAHA NE 68152

Officer/Director/Trustee Two

CHRISTOPHER HALBKATT
SECRETARY
5225 JONES ST
OMAHA NE 68106

Officer/Director/Trustee Three

JOHN FAHRER
TREASURER
4949 GREENE AVE
BELLEVUE NE 68157

Officer/Director/Trustee Four

ERIN HUERTER
VICE PRESIDENT
5531 HICKORY ST
OMAHA NE 68106

Officer/Director/Trustee Five

DANIEL HOULIHAN
TRUSTEE
1721 SOUTH 33RD ST
OMAHA NE 68105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S41 - Promotion of Business
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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