FORM 1023-EZ for DONNA L POLK UNITED FOR HEALTHY COMMUNITIES FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 81-2368044 |
| Case Number | EO-2016365-000268 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DONNA L POLK UNITED FOR HEALTHY COMMUNITIES FOUNDATION INC |
| Organization’s Mailing Address | 3526 N 104TH AVE |
| City | OMAHA |
| State | NE |
| ZIP | 68134-3767 |
| Accounting period End | 12 |
| Primary contact name | MARK POLK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DONNA POLK
PRESIDENT
3526 N 104TH AV
OMAHA NE 68134-3767
Officer/Director/Trustee Two
MARK POLK
VICE PRESIDENT
12305 CASTLEWALL CT
BOWIE MD 20720-3723
Officer/Director/Trustee Three
RUTH BAILEY
TREASURER
3348 N 57TH ST
OMAHA NE 68104-3430
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/6/2015 |
| 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: No 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 | 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 | Yes |
| One Third Support Gifts | No |
| 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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