FORM 1023-EZ for JAMES L EATMON MASONIC FOUNDATION

Field Data
EIN 84-3619462
Case Number EO-2019340-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAMES L EATMON MASONIC FOUNDATION
Organization’s Mailing Address 206 W 9TH STREET
City KIMBALL
State NE
ZIP 69145
Accounting period End 12
Primary contact name JOHN B FERGUSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN FERGUSON
DIRECTOR/PRESIDENT
206 W 9TH STREET
KIMBALL NE 69145

Officer/Director/Trustee Two

KEVIN WYNNE
DIRECTOR/TREASURER
521 S JEFFERSON
KIMBALL NE 69145

Officer/Director/Trustee Three

FRED HOLZ
DIRECTOR/SECRETARY
709 ADAMS
KIMBALL NE 69145

Organization’s website N/A
Organization’s email FERGUSON4563@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2019
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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 Yes
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 JOHN FERGUSON
Signature Title DIRECTOR
Signature Date 12/4/2019

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