FORM 1023-EZ for MCNAMEE-SIMMONS FOUNDATION

Field Data
EIN 47-2538579
Case Number EO-2017248-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MCNAMEE-SIMMONS FOUNDATION
Organization’s Mailing Address 106 SOUTH 126TH CIRCLE
City OMAHA
State NE
ZIP 68154-2351
Accounting period End 12
Primary contact name MARY J MCNAMEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MCNAMEE
PRESIDENT
106 SOUTH 126TH CIRCLE
OMAHA, NE 68154-2351

Officer/Director/Trustee Two

ALICE DWORZACK
VICE PRESIDENT
222 SOUTH 70TH AVE
OMAHA NE 68132-3336

Officer/Director/Trustee Three

KIETH SIMMONS
SECRETARY
106 SOUTH 126TH CIRCLE
OMAHA, NE 68154-2351

Officer/Director/Trustee Four

KIETH SIMMONS
TREASURER
106 SOUTH 126TH CIRCLE
OMAHA NE 68154-2351

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2014
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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