FORM 1023-EZ for GOOD GRIEF NETWORK

Field Data
EIN 84-4380085
Case Number EO-2021187-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD GRIEF NETWORK
Organization’s Mailing Address 2311 3RD AVENUE
City SCOTTSBLUFF
State NE
ZIP 69361
Accounting period End 12
Primary contact name SARAH JORNSAY-SILVERBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH JORNSAY-SILVERBERG
DIRECTOR
138 OXFORD LANE
SAN BRUNO CA 94066

Officer/Director/Trustee Two

LAURA SCHMIDT
DIRECTOR
2311 3RD AVENUE
SCOTTSBLUFF NE 69361

Officer/Director/Trustee Three

AIMEE LEWIS
DIRECTOR
2311 3RD AVENUE
SCOTTSBLUFF NE 69361

Officer/Director/Trustee Four

RICHARD MEYER
DIRECTOR
2311 3RD AVENUE
SCOTTSBLUFF NE 69361

Officer/Director/Trustee Five

LEON SILVERBERG
DIRECTOR
69B HICKORY ROAD
PORT WASHINGTON NY 11050

Organization’s website WWW.GOODGRIEFNETWORK.ORG
Organization’s email INFO@GOODGRIEFNETWORK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name SARAH JORNSAY-SILVERBERG
Signature Title DIRECTOR
Signature Date 7/2/2021

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