FORM 1023-EZ for WEBSTER COUNTY SENIOR CITIZENS COMMITTEE INC

Field Data
EIN 47-0632425
Case Number EO-2021200-000564
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEBSTER COUNTY SENIOR CITIZENS COMMITTEE INC
Organization’s Mailing Address 432 N ELM ST
City RED CLOUD
State NE
ZIP 68970
Accounting period End 12
Primary contact name KYLE KLEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANICE HARTMAN
PRESIDENT - DIRECTOR
305 W GRANT
GUIDE ROCK NE 68942

Officer/Director/Trustee Two

CHRISTINA WILSON
TREASURER - DIRECTOR
906 N CEDAR ST
RED CLOUD NE 68970

Officer/Director/Trustee Three

KYLE KLEIN
V PRESIDENT - DIRECTOR
721 N SEWARD ST
RED CLOUD NE 68970

Officer/Director/Trustee Four

KIM GRAMS
SECRETARY- DIRECTOR
PO BOX 1
CAMPBELL NE 68932

Officer/Director/Trustee Five

SHIRLEY EWING
DIRECTOR
474 RD Y
BLADEN NE 68928

Organization’s website NONE
Organization’s email KKLEIN@WEBSTERHOSPITAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/1978
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KYLE KLEIN
Signature Title V PRESIDENT - DIRECTOR
Signature Date 7/16/2021
EIN 47-0632425
Case Number EO-2021200-000564
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEBSTER COUNTY SENIOR CITIZENS COMMITTEE INC
Organization’s Mailing Address 432 N ELM ST
City RED CLOUD
State NE
ZIP 68970
Accounting period End 12
Primary contact name KYLE KLEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANICE HARTMAN
PRESIDENT - DIRECTOR
305 W GRANT
GUIDE ROCK NE 68942

Officer/Director/Trustee Two

CHRISTINA WILSON
TREASURER - DIRECTOR
906 N CEDAR ST
RED CLOUD NE 68970

Officer/Director/Trustee Three

KYLE KLEIN
V PRESIDENT - DIRECTOR
721 N SEWARD ST
RED CLOUD NE 68970

Officer/Director/Trustee Four

KIM GRAMS
SECRETARY- DIRECTOR
PO BOX 1
CAMPBELL NE 68932

Officer/Director/Trustee Five

SHIRLEY EWING
DIRECTOR
474 RD Y
BLADEN NE 68928

Organization’s website NONE
Organization’s email KKLEIN@WEBSTERHOSPITAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/1978
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KYLE KLEIN
Signature Title V PRESIDENT - DIRECTOR
Signature Date 7/16/2021

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