FORM 1023-EZ for FULLER PARK ASSOCIATION

Field Data
EIN 81-1465095
Case Number EO-2016049-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FULLER PARK ASSOCIATION
Organization’s Mailing Address 18219 SOUTH 80TH ROAD
City PICKRELL
State NE
ZIP 68422-8121
Accounting period End 12
Primary contact name PAUL M JURGENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNETH NEWMAN
ASSOCIATION PRESIDENT
1202 NORTH 13TH STREET
BEATRICE NE 68310-2109

Officer/Director/Trustee Two

PAUL JURGENS
ASSOCIATION TREASURER
9122 EAST HICKORY ROAD
FILLEY NE 68357-6132

Officer/Director/Trustee Three

IVY BLOOM
ASSOCIATION SECRETARY
13294 SOUTH 96TH ROAD
PICKRELL NE 68422-8016

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/1956
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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