FORM 1023-EZ for ADAMS COUNTY FAIR FOUNDATION

Field Data
EIN 46-1674333
Case Number EO-2016263-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADAMS COUNTY FAIR FOUNDATION
Organization’s Mailing Address 947 SOUTH BALTIMORE AVENUE
City HASTINGS
State NE
ZIP 68901
Accounting period End 6
Primary contact name SANDY HIMMELBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARREL STROMER
PRESIDENT
P O BOX 155
JUNIATA NE 68955

Officer/Director/Trustee Two

WILLIS HUNT
VICE-PRESIDENT
616 MADDEN ROAD
HASTINGS NE 68901

Officer/Director/Trustee Three

SUE BROWN
SECRETARY
518 SOUTH RHODE ISLAND AVENUE
HASTINGS NE 68901

Officer/Director/Trustee Four

MARK KEISER
TREASURER
9000 WEST 12TH STREET
JUNIATA NE 68955

Officer/Director/Trustee Five

SANDY HIMMELBERG
ADMINISTRATOR
1695 SOUTH WABASH AVENUE
HASTINGS NE 68901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2012
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S11 - Single Organization Support
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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