FORM 1023-EZ for OSHKOSH WATER TOWER

Field Data
EIN 83-1267633
Case Number EO-2018211-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OSHKOSH WATER TOWER
Organization’s Mailing Address PO BOX 602
City OSHKOSH
State NE
ZIP 69154
Accounting period End 12
Primary contact name MARY ROBINSON-BOONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JO LYNN PETTY BLACKWELL
PRESIDENT AND DIRECTOR
10181 MOUNTAIN MAPLE DR
HIGHLANDS RANCH CO 80129

Officer/Director/Trustee Two

SUSAN PIVA
DIRECTOR
8844 PASCAL AVE N
CIRCLE PINES MN 55014

Officer/Director/Trustee Three

MICHAEL PIVA
DIRECTOR
209 WEST 1ST ST
OSHKOSH NE 69154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JO LYNN PETTY BLACKWELL
Signature Title PRESIDENT AND DIRECTOR
Signature Date 7/26/18

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