FORM 1023-EZ for HOME TEAM OF OSMOND

Field Data
EIN 46-3930057
Case Number EO-2014231-000038
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOME TEAM OF OSMOND
Organization’s Mailing Address 606 W 5TH ST
City OSMOND
State NE
ZIP 68765
Accounting period End 3
Primary contact name MELISSA LIND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA LIND
PRESIDENT/ DIRECTOR
606 W 5TH ST
OSMOND NE 68765

Officer/Director/Trustee Two

ROBERTA GANSEBOM
VICE PRESIDENT/DIRECTOR
PO BOX 372
OSMOND NE 68765

Officer/Director/Trustee Three

ERIN KUMM
SECRETARY/DIRECTOR
55491 870 RD
OSMOND NE 68765

Officer/Director/Trustee Four

AARON GUTZ
TREASURER
303 W 6TH ST
OSMOND NE 68765

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2013
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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