FORM 1023-EZ for CHEYENNE COUNTY HISTORICAL ASSOCIATION

Field Data
EIN 47-6032641
Case Number EO-2016335-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHEYENNE COUNTY HISTORICAL ASSOCIATION
Organization’s Mailing Address PO BOX 596
City SIDNEY
State NE
ZIP 69162
Accounting period End 6
Primary contact name ROGERJORGENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER JORGENSEN
PRESIDENT
1852 CLINTON CT
SIDNEY NE 69162

Officer/Director/Trustee Two

DUANE NIGHTINGALE
VICE PRESIDENT
1704 GRANT
SIDNEY NE 69162

Officer/Director/Trustee Three

STEPHANIE DISNEY
SECRETARY
1300 11TH AVENUE
SIDNEY NE 69162

Officer/Director/Trustee Four

AUDREY TREMAIN
TREASURER
1346 SOLANO DRIVE
SIDNEY NE 69162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/1956
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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