FORM 1023-EZ for HEARTLAND ROUNDUP ASSOCIATION

Field Data
EIN 47-0745042
Case Number EO-2014261-000323
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTLAND ROUNDUP ASSOCIATION
Organization’s Mailing Address PO BOX 6035
City OMAHA
State NE
ZIP 68106
Accounting period End 7
Primary contact name CAROL CUSTARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES PERRY-RHODES
CHAIRMAN
PO BOX 6035
OMAHA NE 68106

Officer/Director/Trustee Two

THIA SHERLOCK
CO-CHAIR
PO BOX 6035
OMAHA NE 68106

Officer/Director/Trustee Three

CYNTHIA KLENDA
TREASURER
PO BOX 6035
OMAHA NE 68106

Officer/Director/Trustee Four

CAROL CUSTARD
SECREATARY
PO BOX 6035
OMAHA NE 60106

Organization’s website WWW.HEARTLANDROUNDUP.ORG
Organization’s email INFO@HAERTLANDROUNDUP.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/1992
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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