FORM 1023-EZ for TRANSFORMATIONS THRIFT STORE

Field Data
EIN 83-1754869
Case Number EO-2018282-000360
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORMATIONS THRIFT STORE
Organization’s Mailing Address 1302 F STREET
City LINCOLN
State NE
ZIP 68508
Accounting period End 12
Primary contact name SCOTT A LOOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT LOOS
PRESIDENT
5735 LIMESTONE RD
LINCOLN NE 68512

Officer/Director/Trustee Two

JEFF GRAHAM
VICE PRESIDENT
1030 SOUTH 12TH APARTMENT 8
LINCOLN NE 68508

Officer/Director/Trustee Three

DARBY LYTLE
SECRETARY
1030 SOUTH 12TH APARTMENT 8
LINCOLN NE 68508

Officer/Director/Trustee Four

BRODY VAN ROEKEL
TREASURER
1302 WASHINGTON
LINCOLN NE 68502

Organization’s website WWW.TRANSFORMATIONSTHRIFTSTORE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT LOOS
Signature Title PRESIDENT
Signature Date 10/5/18

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