FORM 1023-EZ for PUT A SOCK IN IT FOR CHARITABLE DISTRIBUTION

Field Data
EIN 47-3651107
Case Number EO-2016187-000073
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUT A SOCK IN IT FOR CHARITABLE DISTRIBUTION
Organization’s Mailing Address 1320 Q ST
City LINCOLN
State NE
ZIP 68508
Accounting period End 12
Primary contact name JOSIE JENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSLYN JENSEN
PRESIDENT
4017 N 81ST AVE
OMAHA NE 68134

Officer/Director/Trustee Two

TAYLER SUNDERMANN
CHIEF FINANCIAL OFFICER
720 S 16TH ST
LINCOLN NE 68508

Officer/Director/Trustee Three

SARAH PORATH
SECRETARY
7724 ERIN COURT
LINCOLN NE 68507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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