FORM 1023-EZ for FIRE AND IRON MOTORCYCLE CLUB SHELLCREEK STATION 102

Field Data
EIN 82-4757174
Case Number EO-2018143-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRE AND IRON MOTORCYCLE CLUB SHELLCREEK STATION 102
Organization’s Mailing Address 411 HALE AVE PO BOX 478
City NEWMAN GROVE
State NE
ZIP 68758-478
Accounting period End 12
Primary contact name JAROD L ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAROD L ADAMS
PRESIDENT
310 N 5TH STREET
NEWMAN GROVE NE 68758-478

Officer/Director/Trustee Two

THOMAS BAGLEY
VICE PRESIDENT
205 N 4TH STREET
NEWMAN GROVE NE 68758-456

Officer/Director/Trustee Three

APRIL ADAMS
SECRETARY
310 N 5TH STREET
NEWMAN GROVE NE 68758-478

Officer/Director/Trustee Four

RYAN SCHULZ
TREASURER
103 S 3RD STREET
NEWMAN GROVE NE 68758-313

Organization’s website
Organization’s email JARODA@TROIKACOMMUNICATIONS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 Yes
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 JAROD L ADAMS
Signature Title PRESIDENT
Signature Date 5/19/18

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