FORM 1023-EZ for THE ROLLER SKATE CRAZE INC

Field Data
EIN 82-5024148
Case Number EO-2019077-000740
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ROLLER SKATE CRAZE INC
Organization’s Mailing Address 3711 S 25 STREET
City OMAHA
State NE
ZIP 68107
Accounting period End 12
Primary contact name SUSAN TARSIKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN TARSIKES
DIRECTOR/PRESIDENT
3711 S 25 STREET
OMAHA NE 68107

Officer/Director/Trustee Two

JASON LASSEK
DIRECTOR/TREASURER
3711 S 25 STREET
OMAHA NE 68107

Officer/Director/Trustee Three

LEONARDO HUTCHINSON
DIRECTOR
1260 79 AVE
OAKLAND CA 94621

Officer/Director/Trustee Four

NONE NONE
NONE
NONE
NONE

Officer/Director/Trustee Five

NONE NONE
NONE
N/A
NONE

Organization’s website
Organization’s email THEROLLERSKATECRAZE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/12
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 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 Yes
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 SUSAN TARSIKES
Signature Title DIRECTOR/PRESIDENT
Signature Date 3/15/19

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