FORM 1023-EZ for NEBRASKA SHELTIE RESCUE

Field Data
EIN 85-4085208
Case Number EO-2021053-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEBRASKA SHELTIE RESCUE
Organization’s Mailing Address 214 SOUTH 214TH STREET
City ELKHORN
State NE
ZIP 68022
Accounting period End 12
Primary contact name LAURIE REYNOLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH GREDER
BOARD MEMBER/VICE PRESIDENT
214 SOUTH 214TH STREET
ELKHORN NE 68022

Officer/Director/Trustee Two

AMANDA MARK
BOARD MEMBER/TREASURER
3211 MYRTLE AVENUE
OMAHA NE 68131

Officer/Director/Trustee Three

SAMANTHA ROWSE
BOARD MEMBER/SECRETARY
4026 VINTON STREET
OMAHA NE 68105

Officer/Director/Trustee Four

EMILY JO BEDNAR
BOARD MEMBER/
5080 IDA STREET
OMAHA NE 68152

Officer/Director/Trustee Five

LAURIE REYNOLDS
BOARD MEMBER/PRESIDENT
214 SOUTH 214TH STREET
ELKHORN NE 68022

Organization’s website
Organization’s email LAURIE@NESHELTIERESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAURIE REYNOLDS
Signature Title BOARD MEMBER/PRESIDENT
Signature Date 12/23/2020

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