FORM 1023-EZ for OM HEALING ARTS FOUNDATION INC

Field Data
EIN 47-2055585
Case Number EO-2014330-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OM HEALING ARTS FOUNDATION INC
Organization’s Mailing Address 1216 HOWARD STREET
City OMAHA
State NE
ZIP 68102
Accounting period End 12
Primary contact name SANDY AQUILA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDY AQUILA
PRESIDENT
621 BEVERLY DRIVE
OMAHA NE 68114

Officer/Director/Trustee Two

MICHELE DESMARAIS
DIRECTOR
6001 DODGE STREET A/S HALL 205
OMAHA NE 68182

Officer/Director/Trustee Three

DAVID BOLE
DIRECTOR
1216 NW 9TH AVE
GAINSVILLE FL 32601

Officer/Director/Trustee Four

TED KAPTCHUK
DIRECTOR
330 BROOKLINE AVE
BOSTON MA 02215

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2014
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
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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