FORM 1023-EZ for VALLEY DAYS FOUNDATION

Field Data
EIN 83-1909255
Case Number EO-2018274-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALLEY DAYS FOUNDATION
Organization’s Mailing Address PO BOX 18
City VALLEY
State NE
ZIP 68064-18
Accounting period End 9
Primary contact name CINDY GROVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY GROVE
PRESIDENT & DIRECTOR
PO BOX 18
VALLEY NE 68064-18

Officer/Director/Trustee Two

MIKE ADAIR
VICE PRESIDENT & DIRECTOR
207 E CONDRON ST
VALLEY NE 68064

Officer/Director/Trustee Three

DIANE MERRYWEATHER
TREASURER & DIRECTOR
8008 N 279TH ST
VALLEY NE 68064

Officer/Director/Trustee Four

ANGELA EXSTROM
SECRETARY & DIRECTOR
502 S PARK AVE
VALLEY NE 68064

Officer/Director/Trustee Five

HAYLEY TENEYCK
DIRECTOR
4618 N 131ST ST
OMAHA NE 68164

Organization’s website WWW.VALLEYDAYS.NET
Organization’s email INFO@VALLEYDAYS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N52 - Fairs, County and Other
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 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 CINDY GROVE
Signature Title PRESIDENT & DIRECTOR
Signature Date 9/27/18

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