FORM 1023-EZ for CARVER GRANGE OF OMAHA

Field Data
EIN 46-1521565
Case Number EO-2020239-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARVER GRANGE OF OMAHA
Organization’s Mailing Address 8511 N 30TH ST
City OMAHA
State NE
ZIP 68112
Accounting period End 12
Primary contact name LEIGH CHELOHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUISE LATIMER
CO-PRESIDENT/DIRECTOR
2737 FORT STREET
OMAHA NE 68111-1737

Officer/Director/Trustee Two

LEIGH CHELOHA
VICE PRESIDENT/DIRECTOR
16167 PINKNEY ST
OMAHA NE 68116-6440

Officer/Director/Trustee Three

SUSAN WHITFIELD
SECRETARY/DIRECTOR
8511 N 30TH ST
OMAHA NE 68112-2223

Officer/Director/Trustee Four

EDGAR HICKS
TREASURER/DIRECTOR
3325 S 119TH ST
OMAHA NE 68144-4549

Officer/Director/Trustee Five

BRENDA COUNCIL
CO-PRESIDENT/DIRECTOR
1615 WIRT ST
OMAHA NE 68110-2045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2012
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K28 - Farm Bureau, Grange
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEIGH CHELOHA
Signature Title VICE PRESIDENT/DIRECTOR
Signature Date 8/24/2020
EIN 46-1521565
Case Number EO-2014343-000070
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARVER GRANGE OF OMAHA
Organization’s Mailing Address PO BOX 12143
City OMAHA
State NE
ZIP 68112-0143
Accounting period End 12
Primary contact name LEIGH CHELOHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOUISE LATIMER
PRESIDENT / DIRECTOR
2737 FORT STREET
OMAHA NE 68111-1737

Officer/Director/Trustee Two

LEIGH CHELOHA
VICE PRESIDENT / DIRECTOR
2419 N 149TH STREET
OMAHA NE 68116-5156

Officer/Director/Trustee Three

SUSAN WHITFIELD
SECRETARY / DIRECTOR
8511 N 30TH STREET
OMAHA NE 68112-2223

Officer/Director/Trustee Four

EDGAR HICKS
TREASURER / DIRECTOR
10832 OLD MILL ROAD SUITE 2
OMAHA NE 68154-2672

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2012
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K28 - Farm Bureau, Grange
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 Yes
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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