FORM 1023-EZ for WALLACE BARNETT JR CISM MEMORIAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-3738865 |
| Case Number | EO-2017053-000184 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WALLACE BARNETT JR CISM MEMORIAL FOUNDATION |
| Organization’s Mailing Address | P O BOX 161 |
| City | FIRTH |
| State | NE |
| ZIP | 68358 |
| Accounting period End | 12 |
| Primary contact name | WILLIAM HERSHBERGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JON B KAYNE
PRESIDENT
4212 MCCARTNEY DRIVE
BELLEVUE NE 68123
Officer/Director/Trustee Two
WILLIAM HERSCHBERGER
VICE PRESIDENT
2140 NORTH COTNER BLVD
LINCOLN NE 68507
Officer/Director/Trustee Three
KARLA HOUFEK
SECRETARY
302 MAY STREET
FIRTH NE 68358
Officer/Director/Trustee Four
DEBRA KUHN
TREASURER
5030 J STREET
LINCOLN NE 68510
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/30/2016 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M99 - Public Safety, Disaster Preparedness, and Relief N.E.C. |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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