FORM 1023-EZ for IN HIS IMAGE FOUNDATION INC

Field Data
EIN 84-2962100
Case Number EO-2019252-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IN HIS IMAGE FOUNDATION INC
Organization’s Mailing Address 7413 NORTH 116TH AVENUE CIRCLE
City OMAHA
State NE
ZIP 68142
Accounting period End 12
Primary contact name MARLA BACHUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLA BACHUS
PRESIDENT/SECRETARY/DIRECTOR
7413 NORTH 116TH AVENUE CIRCLE
OMAHA NE 68142

Officer/Director/Trustee Two

DARINDA MONTAGUE
TREASURER/DIRECTOR
16409 CAMDEN AVENUE
OMAHA NE 68116

Officer/Director/Trustee Three

ALISHA SHELTON
DIRECTOR
7502 NORTH 89TH AVENUE
OMAHA NE 68123

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/19
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - 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 Yes
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 MARLA BACHUS
Signature Title PRESIDENT/SECRETARY/DIRECTOR
Signature Date 9/6/19

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