FORM 1023-EZ for SINGLE

Field Data
EIN 86-2581366
Case Number EO-2021099-001590
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SINGLE
Organization’s Mailing Address 4930 S 124TH ST
City OMAHA
State NE
ZIP 68137
Accounting period End 12
Primary contact name SHYLA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHYLA JOHNSON
PRESIDENT
4930 S 124TH ST
OMAHA NE 68137

Officer/Director/Trustee Two

DOROTHY DOUGLAS
TREASURER
4930 S 124TH ST
OMAHA NE 68137

Officer/Director/Trustee Three

KAMINA LEMMONS
SECRETARY
4930 S 124TH ST
OMAHA NE 68137

Organization’s website
Organization’s email HEAVENLYARMSOMAHA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2021
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 SHYLA JOHNSON
Signature Title PRESIDENT
Signature Date 3/23/2021

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