FORM 1023-EZ for CHAPPELL CAR CLUB

Field Data
EIN 27-1856221
Case Number EO-2018022-000036
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAPPELL CAR CLUB
Organization’s Mailing Address PO BOX 904
City CHAPPELL
State NE
ZIP 69129
Accounting period End 12
Primary contact name JODI HARMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA GREEN
PRESIDENT
1566 2ND STREET
CHAPPELL NE 69129

Officer/Director/Trustee Two

RANDY HARMS
VICE-PRESIDENT
15 COURT AVENUE
CHAPPELL NE 69129

Officer/Director/Trustee Three

SCARLETT MORRIS
SECRETARY
902 2ND STREET
CHAPPELL NE 69129

Officer/Director/Trustee Four

JODI HARMS
TREASURER
602 HAYWARD AVE
CHAPPELL NE 69129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/13
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 JODI HARMS
Signature Title TREASURER
Signature Date 1/18/18

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