FORM 1023-EZ for SOUTHWEST NEBRASKA LOSS TEAM

Field Data
EIN 83-3852205
Case Number EO-2019084-000694
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHWEST NEBRASKA LOSS TEAM
Organization’s Mailing Address 1209 W E STREET
City NORTH PLATTE
State NE
ZIP 69101-5045
Accounting period End 12
Primary contact name JENNIFER KRAJEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER KRAJEWSKI
DIRECTOR
1209 W E STREET
NORTH PLATTE NE 69101-5045

Officer/Director/Trustee Two

CASEY KURRE
CO-TEAM CLINICIAN
308 W 4TH STREET
NORTH PLATTE NE 69101-5045

Officer/Director/Trustee Three

ANGELA BEAR
TEAM MEMBER
1911 W 1ST STREET
NORTH PLATTE NE 69101-5045

Organization’s website HTTPS://M.FACEBOOK.COM/SWNEBRASKALOSSTEAM
Organization’s email SWNELOSSTEAM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 Yes
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 JENNIFER KRAJEWSKI
Signature Title DIRECTOR
Signature Date 3/23/19

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