FORM 1023-EZ for THOMAS JEFFERSON CLASS OF 1986 ALUMNI ASSOCIATION

Field Data
EIN 82-2914569
Case Number EO-2017272-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THOMAS JEFFERSON CLASS OF 1986 ALUMNI ASSOCIATION
Organization’s Mailing Address 2501 W BROADWAY
City COUNCIL BLUFFS
State NE
ZIP 51501
Accounting period End 6
Primary contact name SCHADD GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCHADD GRAY
PRESIDENT
7133 N 160TH AVE
BENNINGTON NE 68116

Officer/Director/Trustee Two

LESTER DAVIS
VICE PRESIDENT
8707 RIVER PARK ROAD
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Three

SCOTT GILLISPIE
TREASURER
1802 N 59TH STREET
OMAHA NE 68104

Officer/Director/Trustee Four

MICHELLE BETTS
SECRETARY
3218 6TH AVENUE
COUNCIL BLUFFS IA 51501

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni 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 No
One Third Support Gifts Yes
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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