FORM 1023-EZ for BRANCHED OAK OBSERVATORY

Field Data
EIN 47-4467998
Case Number EO-2015191-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRANCHED OAK OBSERVATORY
Organization’s Mailing Address 14300 NW 98TH ST
City RAYMOND
State NE
ZIP 68428
Accounting period End 12
Primary contact name MICHAEL SIBBERNSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL SIBBERNSEN
CEO
287 CONCORD CIRCLE
PAPILLION NE 68046-4104

Officer/Director/Trustee Two

KENDRA SIBBERNSEN
CFO
287 CONCORD CIRCLE
PAPILLION NE 68046-4104

Officer/Director/Trustee Three

MATTHEW ANDERSON
COO
14300 NW 98TH ST
RAYMOND NE 68428

Organization’s website BRANCHEDOAKOBSERVATORY.COM
Organization’s email MSIBBERN@COX.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A57 - Science and Technology Museums
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
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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