FORM 1023-EZ for POSITIVE PRODUCTIVE BLACK FATHERSNORTH OMAHA CHAPTER

Field Data
EIN 47-1512917
Case Number EO-2016285-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE PRODUCTIVE BLACK FATHERSNORTH OMAHA CHAPTER
Organization’s Mailing Address 4200 NORTH 30TH STREET SUITE 202
City OMAHA
State NE
ZIP 68111
Accounting period End 7
Primary contact name BRIAN K DAILEY SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN DAILEY SR
CHIEF EXECUTIVE OFFICER
1026 N 32ND ST
OMAHA NE 68131

Officer/Director/Trustee Two

JAMES WILLIAMS
PRESIDENT
5705 N 107TH ST
OMAHA NE 68134

Officer/Director/Trustee Three

JEFFERY CALHOUN
VICE PRESIDENT
15418 WEIR ST SUITE 314
OMAHA NE 68137

Officer/Director/Trustee Four

TRACIE DAILEY
SECRETARY/TREAURER
1026 N 32ND ST
OMAHA NE 68131

Organization’s website
Organization’s email BLACKMAN.BD63@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2014
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
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 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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