FORM 1023-EZ for MY FRIEND FOUNDATION INC

Field Data
EIN 83-1154292
Case Number EO-2018225-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY FRIEND FOUNDATION INC
Organization’s Mailing Address 9956 DEVONSHIRE DRIVE
City OMAHA
State NE
ZIP 68114
Accounting period End 12
Primary contact name SAMUEL HOLLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL HOLLEY
DIRECTOR
9956 DEVOSHIRE DRIVE
OMAHA NE 68114

Officer/Director/Trustee Two

LYN HOLLEY
DIRECTOR
9956 DEVOSHIRE DRIVE
OMAHA NE 68114

Officer/Director/Trustee Three

CATHERINE KRATVILLE WRINN
DIRCTOR
104 NORTH 87TH STREET
WAUWATOSA WI 53226

Organization’s website
Organization’s email DRSAMHOLLEY@COX.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAMUEL HOLLEY
Signature Title DIRECTOR
Signature Date 8/9/18

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