FORM 1023-EZ for PUSH TRANSITIONAL LIVING MOMMY & ME

Field Data
EIN 85-4066914
Case Number EO-2021034-000067
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUSH TRANSITIONAL LIVING MOMMY & ME
Organization’s Mailing Address 1245 N MORRELL STREET
City OMAHA
State NE
ZIP 68111
Accounting period End 12
Primary contact name LATOIS MAYFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATOIS MAYFIELD
CEO
1637 N 84TH TERRACE OMAHA
OMAHA NE 68114

Officer/Director/Trustee Two

AHMAD JOHNSON
DIRECTOR
3826 N 70TH CIRCLE
OMAHA NE 68104

Officer/Director/Trustee Three

PAUL DOYLE
TRUSTEE
2637 NW 118TH
OKLAHOMA CITY OK 68114

Officer/Director/Trustee Four

HEIDI WOODWARD
CO DIRECTOR
2573 IZARD COURT APT B
OMAHA NE 68111

Officer/Director/Trustee Five

CHINA JONES
CO DIRECTOR
4224 HIMEBAUGH AVE
OMAHA NE 68111

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LATOIS MAYFIELD
Signature Title CEO
Signature Date 12/15/2020

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