FORM 1023-EZ for LATINO COMMUNITY BETTERMENT CORPORATION

Field Data
EIN 81-2162843
Case Number EO-2016130-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LATINO COMMUNITY BETTERMENT CORPORATION
Organization’s Mailing Address 4825 SOUTH 25TH STREET SUITE 100
City OMAHA
State NE
ZIP 68107
Accounting period End 12
Primary contact name BLANCA MEJIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES RISKOWSKI
PRESIDENT
10404 ESSEX COURT SUITE 400
OMAHA NE 68114

Officer/Director/Trustee Two

BLANCA MEJIA
DIRECTOR
4323 SOUTH 27TH STREET
OMAHA NE 68107

Officer/Director/Trustee Three

JENNIFER JAZYNKA
SECRETARY
5219 WILLIAM STREET
OMAHA NE 68106

Officer/Director/Trustee Four

JIM SWANSON
DIRECTOR
6254 GLENWOOD RD
OMAHA NE 68132

Officer/Director/Trustee Five

JIM PROUTY
VICE PRESIDENT
4825 SOUTH 25TH STREET SUITE 100
OMAHA NE 68107

Organization’s website
Organization’s email LATINOCBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
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
Signature Title
Signature Date

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