FORM 1023-EZ for OMAHA MOM PROM INC

Field Data
EIN 84-4757899
Case Number EO-2020168-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMAHA MOM PROM INC
Organization’s Mailing Address 2811 NICKLAUS WAY
City FREMONT
State NE
ZIP 68025
Accounting period End 12
Primary contact name SHONDA KNOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHONDA KNOP
PRESIDENT
2811 NICKLAUS WAY
FREMONT NE 68025

Officer/Director/Trustee Two

KORYN HANSEN
VICE PRESIDENT
12202 WINDWARD AVE
PAPILLION NE 68046

Officer/Director/Trustee Three

NANCY HANSEN
SECRETARY
15229 ROBIN DR
OMAHA NE 68138

Officer/Director/Trustee Four

KRISTI NILIUS
TREASURER
16002 FOWLER AVE
OMAHA NE 68116

Officer/Director/Trustee Five

AMBER VALLIER
MARKETING
4606 HILLTOP ST
PAPILLION NE 68133

Organization’s website OMAHAMOMPROM.ORG
Organization’s email THEOMAHAMOMPROM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHONDA KNOP
Signature Title PRESIDENT
Signature Date 6/12/2020

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