FORM 1023-EZ for HEARTLAND HOME SCHOOLERS INCORPORATED

Field Data
EIN 27-1652994
Case Number EO-2016315-000418
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTLAND HOME SCHOOLERS INCORPORATED
Organization’s Mailing Address 4000 BALLARD CIRCLE
City LINCOLN
State NE
ZIP 68504
Accounting period End 12
Primary contact name ELIZABETH DAVIDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH DAVIDS
PRESIDENT
4000 BALLARD CIRCLE
LINCOLN NE 68504

Officer/Director/Trustee Two

RONDA SWANSON
VICE PRESIDENT
811 DANVILLE CIRCLE
LINCOLN NE 68510

Officer/Director/Trustee Three

CAROL KELSEY
SECRETARY
12255 NORTH 98TH
LINCOLN NE 68517

Officer/Director/Trustee Four

CATHERINE BABCOCK
TREASURER
13411 ALVO ROAD
WAVERLY NE 68462

Organization’s website WWW.HOMESCHOOL-LIFE.COM/NE/HEARTLAND
Organization’s email LINCOLNHSR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2001
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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