FORM 1023-EZ for LOVE ADELYN FOUNDATION

Field Data
EIN 81-3200497
Case Number EO-2016201-000573
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOVE ADELYN FOUNDATION
Organization’s Mailing Address 7164 COUNTRYVIEW ROAD
City LINCOLN
State NE
ZIP 68516
Accounting period End 12
Primary contact name ERIN REA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN REA
PRESIDENT/TREASURER/DIRECTOR
7164 COUNTRYVIEW ROAD
LINCOLN NE 68516

Officer/Director/Trustee Two

BRIAN REA
VICE PRESIDENT/SECRETARY/DIRECTOR
7164 COUNTRYVIEW ROAD
LINCOLN NE 68516

Officer/Director/Trustee Three

SHANNON STELLING
DIRECTOR
PO BOX 84
ORCHARD NE 68764

Officer/Director/Trustee Four

JOSH STELLING
DIRECTOR
PO BOX 84
ORCHARD NE 68764

Officer/Director/Trustee Five

HIDY CRANDELL
DIRECTOR
1830 SW 37TH STREET
LINCOLN NE 68522

Organization’s website WWW.LOVEADELYN.COM
Organization’s email WWW.LOVEADELYN.COM@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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