FORM 1023-EZ for PRAIRIE PLAINS CASA

Field Data
EIN 81-1333824
Case Number EO-2016068-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRAIRIE PLAINS CASA
Organization’s Mailing Address 322 NORRIS AVE STE 6
City MCCOOK
State NE
ZIP 69001
Accounting period End 6
Primary contact name CATHERINE M MCDOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIRK GRAY
PRESIDENT
419 SEMINOLE DR
MCCOOK NE 69001

Officer/Director/Trustee Two

VICKY YOUNG
TREASURER
1010 WEST 1ST
MCCOOK NE 69001

Officer/Director/Trustee Three

NATE SCHNEIDER
CHAIRPERSON
1520 CENTENNIAL DRIVE
MCCOOK NE 69001

Officer/Director/Trustee Four

PHYLLIS GRAHAM
SECRETARY
712 NORRIS AVE
MCCOOK NE 69001

Officer/Director/Trustee Five

SHARLEEN RIEMENSCHNEIDER
BOARD MEMBER
2005 NORRIS AVE
MCCOOK NE 69001

Organization’s website PRAIRIEPLAINSCASA.ORG
Organization’s email PRAIRIEPLAINSCASA@Q.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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