FORM 1023-EZ for FARMERS AGENTS CHARITIES OF OMAHA INC

Field Data
EIN 84-4283411
Case Number EO-2020021-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FARMERS AGENTS CHARITIES OF OMAHA INC
Organization’s Mailing Address 19326 SPENCER ST
City ELKHORN
State NE
ZIP 68022
Accounting period End 12
Primary contact name ERIC L PETERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW NEAL
DIRECTOR/PRESIDENT
13304 W CENTER RD STE 222
OMAHA NE 68144-3456

Officer/Director/Trustee Two

LANCE JUETT
DIRECTOR/VICE PRESIDENT
11263 WRIGHT CIR
OMAHA NE 68144

Officer/Director/Trustee Three

ERIC PETERSEN
DIRECTOR/TREASURER
19326 SPENCER ST
ELKHORN NE 68022

Officer/Director/Trustee Four

MICK MANLEY II
DIRECTOR/SECRETARY
12111 ANNE ST
OMAHA NE 68137-2007

Officer/Director/Trustee Five

DUSTIN OURADA
DIRECTOR
2710 S 114TH ST
OMAHA NE 68144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIC PETERSEN
Signature Title DIRECTOR/TREASURER
Signature Date 1/16/2020

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