FORM 1023-EZ for NORTHWEST HIGH SCHOOL FAST

Field Data
EIN 47-3978683
Case Number EO-2015188-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST HIGH SCHOOL FAST
Organization’s Mailing Address 8204 CROWN POINT AVE
City OMAHA
State NE
ZIP 68134
Accounting period End 6
Primary contact name STACI A GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STACI GRAY
PRESIDENT
8204 CROWN POINT AVE
OMAHA NE 68134

Officer/Director/Trustee Two

SCOTT PETERS
VICE PRESIDENT
8204 CROWN POINT AVE
OMAHA NE 68134

Officer/Director/Trustee Three

KAREN DURNAD
TREASURER
8204 CROWN POINT AVE
OMAHA NE 68134

Officer/Director/Trustee Four

ANASTASIA BORNE
SECRETARY
8204 CROWN POINT AVE
OMAHA NE 68134

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
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 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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