FORM 1023-EZ for PRESCOTT AREA NEIGHBORHOOD ASSOCIATION

Field Data
EIN 47-4086504
Case Number EO-2016126-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRESCOTT AREA NEIGHBORHOOD ASSOCIATION
Organization’s Mailing Address 4035 S 37TH ST
City LINCOLN
State NE
ZIP 68506
Accounting period End 12
Primary contact name NATE BLUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATE BLUM
PRESIDENT
4035 S 37TH ST
LINCOLN NE 68506

Officer/Director/Trustee Two

RICHARD PACKWOOD
TREASURER
4240 S 36TH
LINCOLN NE 68506

Officer/Director/Trustee Three

STEVE THOMPSON
VICE PRESIDENT
4015 S 39TH
LINCOLN NE 68506

Officer/Director/Trustee Four

TERRY ANDERSON
VICE PRESIDENT
4045 S 39TH
LINCOLN NE 68506

Officer/Director/Trustee Five

ARNETTE GARRIS
VICE PRESIDENT
3939 STOCKWELL CT
LINCOLN NE 68506

Organization’s website WWW.PRESCOTTAREANEIGHBORHOOD.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2015
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 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
Signature Title
Signature Date

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