FORM 1023-EZ for ELKHORN BAND BOOSTERS

Field Data
EIN 47-0587365
Case Number EO-2019064-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELKHORN BAND BOOSTERS
Organization’s Mailing Address 1401 VETERANS DR
City ELKHORN
State NE
ZIP 68022-2593
Accounting period End 6
Primary contact name CORY CLARYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN BART
PRESIDENT
2907 N 172 ST
OMAHA NE 68116

Officer/Director/Trustee Two

CORY CLARYS
TREASURER
17416 GRANT CIR
OMAHA NE 68116

Officer/Director/Trustee Three

LISA POLLAN
VICE PRESIDENT
4819 NORTH 175TH AVENUE
OMAHA NE 68116

Officer/Director/Trustee Four

MONICA SAMEK
SECRATARY
17241 SEWARD STREET
OMAHA NE 68118

Organization’s website
Organization’s email ELKHORNBANDBOOSTERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/15
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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 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 CORY CLARYS
Signature Title TREASURER
Signature Date 3/1/19

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