FORM 1023-EZ for MOBILITY EQUIPMENT RESTORATION LLC

Field Data
EIN 46-5355351
Case Number EO-2017241-000109
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOBILITY EQUIPMENT RESTORATION LLC
Organization’s Mailing Address 2107 N 42ND ST
City OMAHA
State NE
ZIP 68111
Accounting period End 12
Primary contact name MARNE IWAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARNE IWAND
PRESIDENT
2107 N 42 ST
OMAHA NE 68111

Officer/Director/Trustee Two

HANS IWAND
TREASURER
2107 N 42 ST
OMAHA NE 68111

Officer/Director/Trustee Three

BRIAN PRINCE
DIRECTOR
2107 N 42
OMAHA NE 68111

Officer/Director/Trustee Four

RAYMOND HASIAK
DIRECTOR
2107 N 42N
OMAHA NE 68111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2014
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-5355351
Case Number EO-2015201-000061
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOBILITY EQUIPMENT RESTORATION
Organization’s Mailing Address 2107 N 42ND ST
City OMAHA
State NE
ZIP 68111
Accounting period End 12
Primary contact name HANS IWAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARNE IWAND
PRESIDENT
5108 NICHOLAS ST
OMAHA NE 68132

Officer/Director/Trustee Two

RAYMOND HASIAK
ATTORNEY
2107 N 42ND ST
OMAHA NE 68111

Officer/Director/Trustee Three

BRIAN PRINCE
DIRECTOR
2107 N 42ND ST
OMAHA NE 68111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2014
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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