FORM 1023-EZ for PINK LOTUS PROJECT

Field Data
EIN 82-2049428
Case Number EO-2017320-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINK LOTUS PROJECT
Organization’s Mailing Address 6511 FRANKLIN
City OMAHA
State NE
ZIP 68104
Accounting period End 12
Primary contact name TISA HARDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TISA HARDIN
EXECUTIVE DIRECTOR
6511 FRANKLIN
OMAHA NE 68104

Officer/Director/Trustee Two

ERNEST WHITE
PRESIDENT/ TREASUER
3147 AMES AVENUE
OMAHA NE 68111

Officer/Director/Trustee Three

AUBREY ORDUNA
SECRETARY
4634 CAMDEN STREET
OMAHA NE 68104

Officer/Director/Trustee Four

TERRI SANDERS
DIRECTOR
4115 N 22ND STREET
OMAHA NE 68111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2017
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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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