FORM 1023-EZ for HEARTLAND BIOMEDICAL ASSOCIATION
| Field | Data |
|---|---|
| EIN | 47-0754658 |
| Case Number | EO-2015079-000234 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HEARTLAND BIOMEDICAL ASSOCIATION |
| Organization’s Mailing Address | PO BOX 27102 |
| City | RALSTON |
| State | NE |
| ZIP | 68127 |
| Accounting period End | 12 |
| Primary contact name | RONALD BROWN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
SEAN BOWDEN
PRESIDENT
7533 RENTLEDGE AVE
LINCOLN NE 68507
Officer/Director/Trustee Two
RONALD BROWN
SECRETARY AND TREASURER
11018 JEFFERSON STREET
OMAHA NE 68137
Officer/Director/Trustee Three
JOHN KOTCHIAN
DIRECTOR
9928 N 34TH CIRCLE
OMAHA NE 68112
Officer/Director/Trustee Four
TRAVIS JEFFERIES
DIRECTOR
14408 S 28TH STREET
BELLEVUE NE 68123
Officer/Director/Trustee Five
WILLIAM DOIEL
DIRECTOR
2711 N 189TH STREET
ELKHORN NE 68022
| Organization’s website | WWW.HEARTLANDBIOMED.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/5/2013 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| 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 | No |
| One Third Support Gifts | Yes |
| 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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