FORM 1023-EZ for ATKINSON COMMUNITY THRIFT SHOP

Field Data
EIN 84-2686931
Case Number EO-2019240-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATKINSON COMMUNITY THRIFT SHOP
Organization’s Mailing Address 47584 890 ROAD
City ATKINSON
State NE
ZIP 68713-4432
Accounting period End 12
Primary contact name LOU ANN TOOKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY DOBIAS
PRESIDENT
47705 880 ROAD
ATKINSON NE 68713-4876

Officer/Director/Trustee Two

LOU ANN TOOKER
SEC/TREAS
47584 890 ROAD
ATKINSON NE 68713-4432

Officer/Director/Trustee Three

CHRISTINA LARBY
DIRECTOR
908 EAST PEARL STREET
ATKINSON NE 68713-5037

Officer/Director/Trustee Four

PAUL CORKLE
DIRECTOR
PO BOX 795
ATKINSON NE 68713-795

Officer/Director/Trustee Five

MIKE SKULAVIK
DIRECTOR
PO BOX 44
ATKINSON NE 68713-44

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/19
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 LOU ANN TOOKER
Signature Title SEC/TREAS
Signature Date 8/26/19

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