FORM 1023-EZ for COMMUNITY SHEPHERDS

Field Data
EIN 82-1576860
Case Number EO-2020240-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY SHEPHERDS
Organization’s Mailing Address 4627 RD 135
City GURLEY
State NE
ZIP 69141
Accounting period End 12
Primary contact name ROLAND RUSHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROLAND RUSHMAN
TREASURER
4627 RD 135
GURLEY NE 69141

Officer/Director/Trustee Two

JAMES LARSON
PRESIDENT
9590 RD 44
GURLEY NE 69141

Officer/Director/Trustee Three

LEON GILLESPIE
VICE-PRESIDENT
6658 RD 123
BROADWATER NE 69125

Officer/Director/Trustee Four

BARBARA REIMERS
SECRETARY
604 STATE STREET
DALTON NE 69131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2017
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ROLAND RUSHMAN
Signature Title TREASURER
Signature Date 8/25/2020
EIN 82-1576860
Case Number EO-2017206-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY SHEPHERDS
Organization’s Mailing Address PO BOX 282
City DALTON
State NE
ZIP 69131-0282
Accounting period End 12
Primary contact name LEON C GILLESPIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES LARSON
PRESIDENT
9590 ROAD 44
GURLEY NE 69141-4112

Officer/Director/Trustee Two

BARBARA REIMERS
SECRETARY
604 STATE STREET
DALTON NE 69131-7702

Officer/Director/Trustee Three

LEON GILLESPIE
VICE PRESIDENT
6658 ROAD 123
BROADWATER NE 69125-9519

Officer/Director/Trustee Four

ROLAND RUSHMAN
TREASURER
4627 ROAD 135
GURLEY NE 69141-4627

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
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: Yes
Educational: Yes
Scientific: Yes
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 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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