FORM 1023-EZ for OUR VILLAGE COLLECTIVE

Field Data
EIN 83-4472066
Case Number EO-2019116-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR VILLAGE COLLECTIVE
Organization’s Mailing Address 3916 S FOLSOM ST
City LINCOLN
State NE
ZIP 68522
Accounting period End 12
Primary contact name KATIE JOSEPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANAE PETERSON
DIRECTOR, PRESIDENT
3916 S FOLSOM ST
LINCOLN NE 68522

Officer/Director/Trustee Two

RANDI QUINN
DIRECTOR, SECRETARY
1711 N 62ND ST
LINCOLN NE 68505

Officer/Director/Trustee Three

ANDREA STREIT
DIRECTOR, TREASURER
947 AUTUMN ROAD
HICKMAN NE 68372

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/19
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
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 No
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 DANAE PETERSON
Signature Title DIRECTOR, PRESIDENT
Signature Date 4/24/19

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