FORM 1023-EZ for COUNTRY CLUB HILLS NEIGHBORHOOD ASSOCIATION INC

Field Data
EIN 27-5189528
Case Number EO-2014225-000427
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COUNTRY CLUB HILLS NEIGHBORHOOD ASSOCIATION INC
Organization’s Mailing Address 7721 FAIRWAY DRIVE
City OMAHA
State NE
ZIP 68152-2031
Accounting period End 12
Primary contact name JANET REDICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANET REDICK
PRESIDENT; TREASURER
7721 FAIRWAY DRIVE
OMAHA NE 68152-2031

Officer/Director/Trustee Two

SANDRA OLSON
SECRETARY
7088 GIRARD STREET
OMAHA NE 68152-2012

Officer/Director/Trustee Three

ROSEMARY HOLEMAN
VICE PRESIDENT
7110 GIRARD STREET
OMAHA NE 68152-2017

Officer/Director/Trustee Four

MICHAEL RODGERS
DIRECTOR
6924 STARLITE DRIVE
OMAHA NE 68152-2049

Officer/Director/Trustee Five

SHEILA TALLEY
DIRECTOR
7034 GLENDALE AVENUE
OMAHA NE 68152-2045

Organization’s website N/A
Organization’s email CCHNA@COX.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2011
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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
Signature Title
Signature Date

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