FORM 1023-EZ for FOOTNOTE

Field Data
EIN 84-3297269
Case Number EO-2019294-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOOTNOTE
Organization’s Mailing Address 13520 POTWIN ST
City OMAHA
State NE
ZIP 68137
Accounting period End 12
Primary contact name ERIC SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC SMITH
PRESIDENT
13520 POTWIN ST
OMAHA NE 68137

Officer/Director/Trustee Two

MIKE LEWIS
TRUSTEE
PO BOX 523
STARKVILLE MS 39760-523

Officer/Director/Trustee Three

RICK FABER
TRUSTEE
9661 S 161ST ST
OMAHA NE 68136

Officer/Director/Trustee Four

ADAM MCGREGOR
TRUSTEE
502 S 199TH ST
OMAHA NE 68022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/19
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 ERIC SMITH
Signature Title PRESIDENT
Signature Date 10/17/19

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