FORM 1023-EZ for CARPENTER CENTER TRAMPOLINE AND TUMBLING BOOSTER CLUB INC

Field Data
EIN 84-3181684
Case Number EO-2020273-000595
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARPENTER CENTER TRAMPOLINE AND TUMBLING BOOSTER CLUB INC
Organization’s Mailing Address 116 TERRY BLVD
City GERING
State NE
ZIP 69341
Accounting period End 12
Primary contact name PAM KILTHAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM KILTHAU
PRESIDENT
PO BOX 307
SCOTTSBLUFF NE 69361

Officer/Director/Trustee Two

AMANDA PARKER
VICE PRESIDENT
221 EAST 20TH STREET
SCOTTSBLUFF NE 69361

Officer/Director/Trustee Three

ANDREA ARELLANO
SECRETARY/TREASURER
1501 AVENUE P
SCOTTSBLUFF NE 69361

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2019
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAM KILTHAU
Signature Title PRESIDENT
Signature Date 9/24/2020

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