FORM 1023-EZ for MEDICI FOUNDATION

Field Data
EIN 36-3909554
Case Number EO-2016162-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDICI FOUNDATION
Organization’s Mailing Address 120 RICHARDS HALL UNL
City LINCOLN
State NE
ZIP 58588-0114
Accounting period End 12
Primary contact name MIKE ECHTERNACHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAM MANSKE
PRESIDENT
6435 LONETREE DR
LINOCLN NE 68512

Officer/Director/Trustee Two

JO ANN EMERSON
TREASURER
934 MORAINE DR
LINCOLN NE 68510

Officer/Director/Trustee Three

LISA HOLMQUIST
SECRETARY
8416 S TULAROSA CT
LINCOLN NE 68516

Officer/Director/Trustee Four

LUANN FINKE
PRESIDENT ELECT
500 N 66TH
LINCOLN NE 68505

Officer/Director/Trustee Five

PETE PINNELL
DIRECTOR
120 RICHARDS HALL
LINCOLN NE 68588

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/1992
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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