FORM 1023-EZ for CAMP WILLOW INC

Field Data
EIN 83-1631093
Case Number EO-2018277-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP WILLOW INC
Organization’s Mailing Address 306 EAST OMAHA AVENUE
City NORFOLK
State NE
ZIP 68701
Accounting period End 12
Primary contact name LARRY E HILKEMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYDNEY WATSON
PRESIDENT/TREASURER
3406 NORTH 25TH STREET
NORFOLK NE 68701

Officer/Director/Trustee Two

SCOTT WATSON
VICE PRESIDENT
3406 NORTH 25TH STREET
NORFOLK NE 68701

Officer/Director/Trustee Three

SANDRA WATSON
SECRETARY
3406 NORTH 25TH STREET
NORFOLK NE 68701

Officer/Director/Trustee Four

TARA TULS
DIRECTOR
6496 FRIARS RD
SAN DIEGO CA 92108-1065

Officer/Director/Trustee Five

JOSEPH JEANROCK DUBOIS
DIRECTOR
225A FALLON ROAD APT 405
STONEHAM MA 2180

Organization’s website
Organization’s email CAMPWILLOWNE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
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: Yes
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 SYDNEY WATSON
Signature Title PRESIDENT/TREASURER
Signature Date 10/2/18

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