FORM 1023-EZ for BLUE GRANITE RURAL DEVELOPMENT FOUNDATION INC

Field Data
EIN 83-1664029
Case Number EO-2018282-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE GRANITE RURAL DEVELOPMENT FOUNDATION INC
Organization’s Mailing Address PO BOX 212
City FULLERTON
State NE
ZIP 68638-212
Accounting period End 12
Primary contact name KELLY HALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY HALE
PRESIDENT
612 MALCOM ST PO BOX 426
FULLERTON NE 68638-426

Officer/Director/Trustee Two

THOMAS SONDERUP
VICE PRESIDENT
19488 VALLEY ROAD
FULLERTON NE 68638

Officer/Director/Trustee Three

MICHAEL HALE
SECRETARY/TREASURER
612 MALCOM ST PO BOX 426
FULLERTON NE 68638-426

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 KELLY HALE
Signature Title PRESIDENT
Signature Date 10/4/18

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