FORM 1023-EZ for SAUNDERS COUNTY LONG TERM RECOVERYGROUP

Field Data
EIN 84-3609028
Case Number EO-2019319-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAUNDERS COUNTY LONG TERM RECOVERYGROUP
Organization’s Mailing Address 209 ITAN DRIVE
City YUTAN
State NE
ZIP 68073-3089
Accounting period End 5
Primary contact name KEITH M KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH M KELLY
PRESIDENT
209 ITAN DRIVE
YUTAN NE 68073-3089

Officer/Director/Trustee Two

LORIE BEESON
VICE PRESIDENT
980 COUNTY ROAD W LOT T26
FREMONT NE 68025-7936

Officer/Director/Trustee Three

KYLE KELLY
TREASURER
209 ITAN DRIVE
YUTAN NE 68073-3089

Officer/Director/Trustee Four

DEBORAH VIRGL
SECRETARY
1549 COUNTY ROAD 7
YUTAN NE 68073-5067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/19
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LORIE BEESON
Signature Title VICE PRESIDENT
Signature Date 11/13/19
EIN 84-3609028
Case Number EO-2019319-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAUNDERS COUNTY LONG TERM RECOVERY GROUP
Organization’s Mailing Address 209 ITAN DRIVE
City YUTAN
State NE
ZIP 68073-3089
Accounting period End 5
Primary contact name KEITH M KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH M KELLY
PRESIDENT
209 ITAN DRIVE
YUTAN NE 68073-3089

Officer/Director/Trustee Two

LORIE BEESON
VICE PRESIDENT
980 COUNTY ROAD W LOT T26
FREMONT NE 68025-7936

Officer/Director/Trustee Three

KYLE KELLY
TREASURER
209 ITAN DRIVE
YUTAN NE 68073-3089

Officer/Director/Trustee Four

DEBORAH VIRGL
SECRETARY
1549 COUNTY ROAD 7
YUTAN NE 68073-5067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/19
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LORIE BEESON
Signature Title VICE PRESIDENT
Signature Date 11/13/19

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