FORM 1023-EZ for OLIVE BRANCH CHARITABLE FOUNDATION

Field Data
EIN 81-4606940
Case Number EO-2016344-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OLIVE BRANCH CHARITABLE FOUNDATION
Organization’s Mailing Address 317 MAIN STREET
City WALTHILL
State NE
ZIP 68067
Accounting period End 12
Primary contact name KENT L NEUMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON CERNY
PRESIDENT
P O BOX 352
BANCROFT NE 68004

Officer/Director/Trustee Two

KENT NEUMANN
SECRETARY TREASURER
110 WASHIGNTON ST
BANCROFT NE 68004

Officer/Director/Trustee Three

CLETIS WILKIE
DIRECTOR
2444 HWY 77
HOMER NE 68030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2014
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 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
Signature Title
Signature Date

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