FORM 1023-EZ for BASIC HOPE FOUNDATION INC

Field Data
EIN 75-3195090
Case Number EO-2017242-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BASIC HOPE FOUNDATION INC
Organization’s Mailing Address 2332 N 45TH STREET
City OMAHA
State NE
ZIP 68104
Accounting period End 12
Primary contact name EARL BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARL BROWN
DIRECTOR
3223 N 45TH ST
OMAHA NE 68104

Officer/Director/Trustee Two

PHYLLIS WAGNER
SECRETARY
5922 FORT ST
OMAHA NE 68104

Officer/Director/Trustee Three

LISA WILLLIAMS
TRESURER
8015 W CENTER RD
OMAHA NE 68124

Organization’s website
Organization’s email BASICHOPEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2006
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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