FORM 1023-EZ for OMEGA RESCUE ORGANIZATION INC

Field Data
EIN 26-2540314
Case Number EO-2016330-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMEGA RESCUE ORGANIZATION INC
Organization’s Mailing Address 1223 BICKNELL AVE
City LOUISVILLE
State KY
ZIP 40215
Accounting period End 6
Primary contact name EMEBET BOKU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMEBET BOKU
FOUNDER/PRESIDENT
1223 BICKNELL AVE
LOUISVILLE KY 40215

Officer/Director/Trustee Two

HERMENEGILDO MENDEZ-FROMETA
VICE PRESIDENT
1223 BICKNELL AVE
LOUISVILLE KY 40215

Officer/Director/Trustee Three

DEMISSIE BOKU
DIRECTOR
3922 VANTGAE PLACE
LOUISVILLE KY 40299

Officer/Director/Trustee Four

MARYLIN FAULKENBURG
DIRECTOR
8026 N SKYLINE DR
FLOYDS KNOBS KY 47119

Officer/Director/Trustee Five

REV DR MICHAEL GANON
DIRECTOR
3204 DUPIN DR
LOUISVILLE KY 40219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2008
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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