FORM 1023-EZ for BURKE HIGH SCHOOL VOCAL MUSIC-THEATRE BOOSTER CLUB

Field Data
EIN 85-1079747
Case Number EO-2020164-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURKE HIGH SCHOOL VOCAL MUSIC-THEATRE BOOSTER CLUB
Organization’s Mailing Address 12200 BURKE BLVD
City OMAHA
State NE
ZIP 68154-2327
Accounting period End 8
Primary contact name DAVID GROTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER FERRI
PRESIDENT
15109 FOWLER AVE
OMAHA NE 68116-8481

Officer/Director/Trustee Two

MICHAEL BULL
TREASURER
3718 N 101 ST
OMAHA NE 68134-4508

Officer/Director/Trustee Three

WENDY KENDEIGH
SECRETARY
5119 N 137 AVE
OMAHA NE 68164-6196

Officer/Director/Trustee Four

DAVID GROTH
CHOIR DIRECTOR
7915 BARTLETT STREET
OMAHA NE 68122-4086

Officer/Director/Trustee Five

EMILY MOKRYCKI
THEATRE DIRECTOR
8104 BURDETTE ST
OMAHA NE 68134-6418

Organization’s website BURKECHOIRS.WEEBLY.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 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 DAVID GROTH
Signature Title CHOIR DIRECTOR
Signature Date 6/10/2020

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