FORM 1023-EZ for BENEVOLENCE INC

Field Data
EIN 47-4987374
Case Number EO-2015294-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENEVOLENCE INC
Organization’s Mailing Address 7730 SOUTH 28TH STREET
City LINCOLN
State NE
ZIP 68516-5866
Accounting period End 12
Primary contact name TROY KNOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TROY KNOX
EXECUTIVE DIRECTOR
7730 SOUTH 28TH
LINCOLN NE 68516-5866

Officer/Director/Trustee Two

JILL KNOX
SECRETARY
7730 SOUTH 28TH
LINCOLN NE 68516-5866

Officer/Director/Trustee Three

DON MOENCH
DIRECTOR
1661 OTOE STREET
LINCOLN NE 68502

Officer/Director/Trustee Four

ANGELA MOENCH
TREASURER
1661 OTOE STREET
LINCOLN NE 68502

Officer/Director/Trustee Five

JAYDE KNOX
OFFICER
4442 GERTIE
LINCOLN NE 68516

Organization’s website WWW.BENEVOLENCEINC.ORG
Organization’s email TEAM@BENEVOLENCEINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 Yes
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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