FORM 1023-EZ for PIERCE COMMUNITY ORGANIZATION

Field Data
EIN 81-2964144
Case Number EO-2016312-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIERCE COMMUNITY ORGANIZATION
Organization’s Mailing Address PO BOX 159
City PIERCE
State NE
ZIP 68767
Accounting period End 12
Primary contact name JOSHUA R SIREK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW HERIAN
PRESIDENT
85304 549 AVE
PIERCE NE 68767

Officer/Director/Trustee Two

BRIAN EDINS
VICE PRESIDENT
1813 DOGWOOD CIR
PIERCE NE 68767

Officer/Director/Trustee Three

CRISTINA BROVONT
SECRETARY
54916 W WILLOW ST
PIERCE NE 68767

Officer/Director/Trustee Four

JOSHUA SIREK
TREASURER
203 E FLORENCE ST
PIERCE NE 68767

Organization’s website
Organization’s email JSIREK@TCAGENCY.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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
Signature Title
Signature Date

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