FORM 1023-EZ for MOMENTUM

Field Data
EIN 85-3897517
Case Number EO-2021029-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMENTUM
Organization’s Mailing Address 1225 N 53RD ST
City OMAHA
State NE
ZIP 68132
Accounting period End 12
Primary contact name METCALF METCALF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEREDITH METCALF
FOUNDER/PRESIDENT
1225 N 53RD ST
OMAHA NE 68132

Officer/Director/Trustee Two

LILIA FRANCISCONY
DIRECTOR
4769 N 148TH ST
OMAHA NE 68116

Officer/Director/Trustee Three

AMBE WHITE
DIRECTOR
6616 N 81ST ST
OMAHA NE 68122

Officer/Director/Trustee Four

KRISTI FREESE
DIRECTOR
545 N 77TH CIRCLE
OMAHA NE 68114

Organization’s website momswithmomentum.org
Organization’s email meredith@momswithmomentum.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MEREDITH METCALF
Signature Title FOUNDER/PRESIDENT
Signature Date 12/14/2020

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