FORM 1023-EZ for CASA OF NORTHCENTRAL NEBRASKA

Field Data
EIN 85-0584387
Case Number EO-2020099-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASA OF NORTHCENTRAL NEBRASKA
Organization’s Mailing Address 604 N 10TH ST
City ONEILL
State NE
ZIP 68763
Accounting period End 6
Primary contact name KIMBERLY STRONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY STRONG
DIRECTOR
604 N 10TH ST
ONEILL NE 68763

Officer/Director/Trustee Two

CODY BOETTCHER
BOARD MEMBER
118 N 5TH RD
ONEILL NE 68763

Officer/Director/Trustee Three

AMANDA SCHLUNS
BOARD MEMBER
87686 493RD AVE
ONEILL NE 68763

Officer/Director/Trustee Four

COREY FISHER
BOARD MEMBER
504 E HYNES AVE
ONEILL NE 68763

Officer/Director/Trustee Five

KATHERYN MUDLOFF
BOARD MEMBER
504 E HYNES AVE
ONEILL NE 68763

Organization’s website
Organization’s email NECASA.KIMSTRONG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2019
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIMBERLY STRONG
Signature Title DIRECTOR
Signature Date 4/6/2020

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