FORM 1023-EZ for TANNER SHELBY MERZ INC

Field Data
EIN 47-4152806
Case Number EO-2021237-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TANNER SHELBY MERZ INC
Organization’s Mailing Address 1515 E 14TH STREET
City FALLS CITY
State NE
ZIP 68355
Accounting period End 12
Primary contact name REBECCA BLAKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARC MERZ
PRESIDENT
1515 E 14TH STREET
FALLS CITY NE 68355

Officer/Director/Trustee Two

RHETT BLAKLEY
OFFICER
1301 CHASE ST
FALLS CITY NE 68355

Officer/Director/Trustee Three

REBECCA BLAKLEY
TREASURER
1301 CHASE STREET
FALLS CITY NE 68355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA BLAKLEY
Signature Title TREASURER
Signature Date 8/23/2021
EIN 47-4152806
Case Number EO-2015155-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TANNER SHELBY MERZ FOUNDATION INC
Organization’s Mailing Address 1515 EAST 14TH ST
City FALLS CITY
State NE
ZIP 68355
Accounting period End 12
Primary contact name REBECCA BLAKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARC MERZ
PRESIDENT
1515 E 14TH ST
FALLS CITY NE 68355

Officer/Director/Trustee Two

SALLY MERZ
VICE PRESIDENT
1515 E 14TH ST
FALLS CITY NE 68355

Officer/Director/Trustee Three

LOGAN MERZ
DIRECTOR
1820 M ST
AUBURN NE 68305

Officer/Director/Trustee Four

LANE MERZ
DIRECTOR
5016 EWING AVE SOUTH
MINNEAPOLIS MN 55410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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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