FORM 1023-EZ for THE BRANDON GERDES MEMORIAL FOUNDATION

Field Data
EIN 83-0758360
Case Number EO-2018157-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BRANDON GERDES MEMORIAL FOUNDATION
Organization’s Mailing Address 54874 861ST ROAD
City OSMOND
State NE
ZIP 68765
Accounting period End 12
Primary contact name JESSE D SITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COREY GERDES
PRESIDENT AND DIRECTOR
54874 861ST ROAD
OSMOND NE 68765

Officer/Director/Trustee Two

LISA GERDES
TREASURER, SECRETARY, AND DIRECTOR
54874 861ST ROAD
OSMOND NE 68765

Officer/Director/Trustee Three

RON PENNE
DIRECTOR
111 HILLSIDE DRIVE
HADAR NE 68701

Officer/Director/Trustee Four

SUSANNE PENNE
DIRECTOR
111 HILLSIDE DRIVE
HADAR NE 68701

Officer/Director/Trustee Five

CRAIG WACHTER
DIRECTOR
307 S LEWIS STREET
PIERCE NE 68767

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COREY GERDES
Signature Title PRESIDENT AND DIRECTOR
Signature Date 6/4/18

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