FORM 1023-EZ for THE THOME FAMILY FOUNDATION

Field Data
EIN 85-3542141
Case Number EO-2021083-000397
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE THOME FAMILY FOUNDATION
Organization’s Mailing Address 1128 LINCOLN MALL SUITE 300
City LINCOLN
State NE
ZIP 68508
Accounting period End 12
Primary contact name MAX L RODENBURG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT THOME
PRESIDENT
6833 WILDRYE RD
LINCOLN NE 68521

Officer/Director/Trustee Two

KATIE THOME
SECRETARY
6833 WILDRYE RD
LINCOLN NE 68521

Officer/Director/Trustee Three

AMANDA MOON
DIRECTOR
9422 GRANVILLE PKWY
LA VISTA NE 68128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRETT THOME
Signature Title PRESIDENT
Signature Date 11/15/2020

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