| Field | Data |
|---|---|
| EIN | 47-3641726 |
| Case Number | EO-2017207-000059 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | 55 MEDICAL GROUP BOOSTER CLUB |
| Organization’s Mailing Address | 2501 CAPEHART RD |
| City | OFFUTT AFB |
| State | NE |
| ZIP | 68113 |
| Accounting period End | 12 |
| Primary contact name | KILEY MCCARTY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRIAN PHILLIPS
PRESIDENT
2501 CAPEHART RD
OFFUTT AFB NE 68113
RENNE VENNE
VICE-PRESIDENT
2501 CAPEHART RD
OFFUTT AFB NE 68113
JAMES KAUP
MED GROUP TREASURER
2501 CAPEHART RD
OFFUTT AFB NE 68113
KILEY MCCARTY
55 BOOSTER CLUB TREASURER
2501 CAPEHART RD
OFFUTT AFB NE 68113
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2017 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | J12 - 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 | |
| Signature Title | |
| Signature Date |
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