FORM 1023-EZ for THE MIA TAYLOR FOUNDATION
| Field | Data |
|---|---|
| EIN | 86-3669981 |
| Case Number | EO-2021196-000130 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE MIA TAYLOR FOUNDATION |
| Organization’s Mailing Address | 1005 N 77TH STREET |
| City | OMAHA |
| State | NE |
| ZIP | 68114 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL OHARE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHANE TAYLOR
PRESIDENT & DIRECTOR
1005 NORTH 77TH STREET
OMAHA NE 68114
Officer/Director/Trustee Two
LINDA WORTMAN
TREAS & SEC & DIR
842 NORTH 77TH STREET
OMAHA NE 68114
Officer/Director/Trustee Three
SAMUEL MICHAEL
DIRECTOR
2824 BRIARHURST DRIVE
HOUSTON TX 77057
Officer/Director/Trustee Four
JENNY CREIGHTON
DIRECTOR
9414 CAPITOL AVENUE
OMAHA NE 68114
| Organization’s website | |
|---|---|
| Organization’s email | SHANETAYLOR@COX.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/21/2021 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C60 - Environmental Education and Outdoor Survival Programs |
| 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 | SHANE TAYLOR |
| Signature Title | PRESIDENT & DIRECTOR |
| Signature Date | 7/13/2021 |
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