FORM 1023-EZ for MIDWEST OMS FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-1339032 |
| Case Number | EO-2014234-000286 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MIDWEST OMS FOUNDATION |
| Organization’s Mailing Address | 14625 CALIFORNIA STREET |
| City | OMAHA |
| State | NE |
| ZIP | 68154-1950 |
| Accounting period End | 12 |
| Primary contact name | RICHARD J GLOW DDS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
RICHARD GLOW
PRESIDENT AND DIRECTOR
1611 NORTH 129TH STREET
OMAHA NE 68154
Officer/Director/Trustee Two
MICHAEL MCDERMOTT
VICE PRESIDENT
1315 NORTH 264TH STREET
OMAHA NE 68069
Officer/Director/Trustee Three
JEROME WEES
TREASURER AND DIRECTOR
757 NORTH 264TH STREET
WATERLOO NE 68069
Officer/Director/Trustee Four
DONNA ROSLAWSKI
SECRETARY AND DIRECTOR
15651 JESSIE CIRCLE
OMAHA NE 68116
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/14/2014 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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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