FORM 1023-EZ for TEKAMAH-HERMAN-DECATUR COMMUNITY CHURCH COUNCIL

Field Data
EIN 47-3973572
Case Number EO-2015152-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEKAMAH-HERMAN-DECATUR COMMUNITY CHURCH COUNCIL
Organization’s Mailing Address 1124 1/2 13TH ST SOUTH
City TEKAMAH
State NE
ZIP 68061
Accounting period End 12
Primary contact name RACHEL A TRUHLSEN ATTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REVEREND DUNCAN NICHOL
PRESIDENT
1318 K ST
TEKAMAH NE 68061

Officer/Director/Trustee Two

PATTY OLSON
VICE PRESIDENT
1325 HIGHWAY 75
TEKAMAH NE 68061

Officer/Director/Trustee Three

REVEREND TYLER GUBSCH
SECRETARY
210 S 12TH ST
TEKAMAH NE 68061

Officer/Director/Trustee Four

DAVID WRAGGE
TREASURER
120 N 18TH ST
TEKAMAH NE 68061

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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
Signature Title
Signature Date

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