FORM 1023-EZ for AL AND MARCIE CAMPBELL CHARITABLE FOUNDATION

Field Data
EIN 82-0772207
Case Number EO-2017205-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AL AND MARCIE CAMPBELL CHARITABLE FOUNDATION
Organization’s Mailing Address 727 TURTLE BEACH
City MARQUETTE
State NE
ZIP 68854
Accounting period End 12
Primary contact name TIMOTHY J OTTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALVIN CAMPBELL
PRESIDENT. DIRECTOR
727 TURTLE BEACH
MARQUETTE NE 68854

Officer/Director/Trustee Two

MARCIE CAMPBELL
SECRETARY, TREAS, DIRECTOR
727 TURTLE BEACH
MARQUETTE NE 68854

Officer/Director/Trustee Three

ALEXANDRA WALLACE
DIRECTOR
14734 HIMEBAUGH PLAZA
OMAHA NE 68116

Officer/Director/Trustee Four

MORGAN LITZINGER
DIRECTOR
8655 YUCCA STREET
ARVADA CO 80007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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