FORM 1023-EZ for ELKHORN SWIM TEAM BOOSTER CLUB

Field Data
EIN 27-4198243
Case Number EO-2017240-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELKHORN SWIM TEAM BOOSTER CLUB
Organization’s Mailing Address PO BOX 83
City ELKHORN
State NE
ZIP 68022
Accounting period End 5
Primary contact name CHRISTINE COLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE COLE
PRESIDENT
2214 N 176TH ST
OMAHA NE 68116

Officer/Director/Trustee Two

NICKI PECHOUS
VICE PRESIDENT
17527 JONES ST
OMAHA NE 68118

Officer/Director/Trustee Three

DARCY GRESS
SECRETARY
515 S 205 ST
ELKHORN NE 68022

Officer/Director/Trustee Four

LESLIE MAYO
TREASURER
1607 S 181 ST
OMAHA NE 68130

Officer/Director/Trustee Five

DAVE BELL
MEMBER AT LARGE
16910 SEWARD ST
OMAHA NE 68118

Organization’s website STORMINANTLERS.WEEBLY.COM
Organization’s email ELKHORNSTORMINANTLERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2017
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: 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 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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