FORM 1023-EZ for KENESAW HERITAGE MUSEUM

Field Data
EIN 83-1214570
Case Number EO-2018341-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENESAW HERITAGE MUSEUM
Organization’s Mailing Address 16760 WEST 70TH STREET
City KENESAW
State NE
ZIP 68956-1613
Accounting period End 12
Primary contact name SHAREN LUKOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAREN LUKOW
PRESIDENT AND DIRECTOR
16760 WEST 70TH STREET
KENESAW NE 68956-1613

Officer/Director/Trustee Two

DIANE PARKER
VICE PRESIDENT AND DIRECTOR
301 SOUTH SMITH AVENUE
KENESAW NE 68956-1541

Officer/Director/Trustee Three

VALERIE SCHIRMER
SECRETARY/TREASURER AND DIRECTOR
410 NORTH 4TH AVENUE
KENESAW NE 68956-1514

Officer/Director/Trustee Four

BRENT SCHIRMER
DIRECTOR
410 NORTH 4TH AVENUE
KENESAW NE 68956-1514

Officer/Director/Trustee Five

HENRY EDMONDSON
DIRECTOR
502 WEST POPLAR AVENUE
KENESAW NE 68956-1500

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A5O -
Organization’s purpose Charitable: Yes
Religious: No
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 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 SHAREN LUKOW
Signature Title PRESIDENT AND DIRECTOR
Signature Date 12/5/18

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