FORM 1023-EZ for NEBRASKA PROSTATE CANCER ALLIANCE INC

Field Data
EIN 83-2269898
Case Number EO-2018297-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEBRASKA PROSTATE CANCER ALLIANCE INC
Organization’s Mailing Address 1437 S 190TH PLAZA
City OMAHA
State NE
ZIP 68130
Accounting period End 12
Primary contact name HAROLD PHAROAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD PHAROAH
PRESIDENT
1437 SOUTH 190TH PLZ
OMAHA NE 68130

Officer/Director/Trustee Two

LINDA PHAROAH
VICE PRESIDENT
1437 S 190TH PLAZA
OMAHA NE 68130

Officer/Director/Trustee Three

JEFF SHAPIRO
SECRETARY
11718 M CIRCLE
OMAHA NE 68137-2218

Organization’s website
Organization’s email HAP5121@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 HAROLD PHAROAH
Signature Title PRESIDENT
Signature Date 10/22/18

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