FORM 1023-EZ for COALITION RX INC
| Field | Data |
|---|---|
| EIN | 84-2855854 |
| Case Number | EO-2020275-000257 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COALITION RX INC |
| Organization’s Mailing Address | 6001 DODGE ST UNO CEC SUITE 219 |
| City | OMAHA |
| State | NE |
| ZIP | 68182-1102 |
| Accounting period End | 12 |
| Primary contact name | CAREY POMYKATA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DON HOES
PRESIDENT - BOARD CHAIR
6001 DODGE ST UNO CEC SUITE 219
OMAHA NE 68182-1102
Officer/Director/Trustee Two
KATHY JACOBITZ
TREASURER - DIRECTOR
6001 DODGE ST UNO CEC SUITE 219
OMAHA NE 68182-1102
Officer/Director/Trustee Three
STEPHANIE SCHROEDER
VICE PRESIDENT - BOARD VICE CHAIR
6001 DODGE ST UNO CEC SUITE 219
OMAHA NE 68182-1102
Officer/Director/Trustee Four
KARLA DUSH
SECRETARY - DIRECTOR
6001 DODGE ST UNO CEC SUITE 219
OMAHA NE 68182-1102
Officer/Director/Trustee Five
KEN KANGER
DIRECTOR
6001 DODGE ST UNO CEC SUITE 219
OMAHA NE 68182-1102
| Organization’s website | COALITIONRX.ORG |
|---|---|
| Organization’s email | COALITIONRX@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/3/2017 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F21 - Alcohol, Drug Abuse, Prevention Only |
| 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 | 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 | DON HOES |
| Signature Title | PRESIDENT - BOARD CHAIR |
| Signature Date | 9/29/2020 |
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