FORM 1023-EZ for SOURCE AND SUMMIT EVANGELIZATION INC

Field Data
EIN 82-2836266
Case Number EO-2018064-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOURCE AND SUMMIT EVANGELIZATION INC
Organization’s Mailing Address 6 PARK DRIVE
City HOLDREGE
State NE
ZIP 68949
Accounting period End 12
Primary contact name MICHAEL PELSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL PELSTER
PRESIDENT
6 PARK DRIVE
HOLDREGE NE 68949

Officer/Director/Trustee Two

CRAIG JOHRING
DIRECTOR
32010 E LAKE PARK DR
SOUTH BEND NE 68058

Officer/Director/Trustee Three

LUKE DEAVER
DIRECTOR
2 CORNHUSKER DRIVE
HOLDREGE NE 68949

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/17
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: No
Religious: Yes
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 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 MICHAEL PELSTER
Signature Title PRESIDENT
Signature Date 3/1/18

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