FORM 1023-EZ for AREA 41 ASSEMBLY INC

Field Data
EIN 81-4267784
Case Number EO-2016305-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AREA 41 ASSEMBLY INC
Organization’s Mailing Address 4325 NORTH 108 STREET
City OMAHA
State NE
ZIP 68164-2352
Accounting period End 12
Primary contact name NICK KISSEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANI PETTY
CHAIR
4325 NORTH 109 STREET
OMAHA NE 68164-2352

Officer/Director/Trustee Two

CHAR SWALBERG
SECRETARY
920 WEST 3 STREET
NORTH PLATTE NE 69101-3732

Officer/Director/Trustee Three

BILL OMALLEY
INTERIM TREASURER
1130 H STREET APT 504
LINCOLN NE 68508-3260

Officer/Director/Trustee Four

TRENT GEISTLINGER
DELEGATE
7151 WEST STATE HWY 4
BEATRICE NE 68310-6786

Officer/Director/Trustee Five

NICHOLAS KISSEL
MEMBER
16758 ARCADIA
OMAHA NE 68116-3791

Organization’s website WWW.AREA41.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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