FORM 1023-EZ for NEBRASKA YOUTH LODGE INC

Field Data
EIN 82-3623492
Case Number EO-2018043-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEBRASKA YOUTH LODGE INC
Organization’s Mailing Address 1060 GARDEN VALLEY ROAD
City LINCOLN
State NE
ZIP 68521
Accounting period End 12
Primary contact name DANIEL B SANCHEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL SANCHEZ
EXECUTIVE DIRECTOR
1060 GARDEN VALLEY RD
LINCOLN NE 68521

Officer/Director/Trustee Two

ERIC SANCHEZ
TREASURE
2110 POTTER ST
LINCOLN NE 68503

Officer/Director/Trustee Three

GERALD POND
ATTORNEY
1500 MILITARY RD
LINCOLN NE 68501

Officer/Director/Trustee Four

STACEY STABLER
ATTORNEY
1 MISSON DR
WINNEBAGO NE 68071

Officer/Director/Trustee Five

JASON SANCHEZ
SECRETARY
4212 TAGLE ST
EDINBURG TX 78541

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/17
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
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 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 DANIEL SANCHEZ
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/8/18

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