FORM 1023-EZ for FOREVERNATE FOUNDATION FOR PEDIATRIC BRAIN CANCER RESEARCH
| Field | Data |
|---|---|
| EIN | 86-1388312 |
| Case Number | EO-2021078-000312 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FOREVERNATE FOUNDATION FOR PEDIATRIC BRAIN CANCER RESEARCH |
| Organization’s Mailing Address | 14827 CALIFORNIA STREET |
| City | OMAHA |
| State | NE |
| ZIP | 68154 |
| Accounting period End | 12 |
| Primary contact name | DOUGLAS E SPALE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MONICA WAGGONER
CHAIRMAN
14827 CALIFORNIA STREET
OMAHA NE 68154
Officer/Director/Trustee Two
NICK WAGGONER
BOARD MEMBER
2206 NORTH 191ST STREET
OMAHA NE 68022
Officer/Director/Trustee Three
MELANIE EDWARD
TREASURER
2473 ROSCOMERE ROAD
LOS ANGELES CA 90077
Officer/Director/Trustee Four
GABRIELLA LUNDIN
SECRETARY
14827 CALIFORNIA STREET
OMAHA NE 68154
| Organization’s website | HTTPS://WWW.FACEBOOK.COM/FOREVERNATEFOUNDATION |
|---|---|
| Organization’s email | FOREVERNATE@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/11/2021 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H30 - Cancer Research |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | MONICA WAGGONER |
| Signature Title | CHAIRMAN |
| Signature Date | 1/25/2021 |
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