FORM 1023-EZ for PRADER WILLI SYNDROME ASSOCIATION OF NEBRASKA
| Field | Data |
|---|---|
| EIN | 83-4668529 |
| Case Number | EO-2019360-000148 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PRADER WILLI SYNDROME ASSOCIATION OF NEBRASKA |
| Organization’s Mailing Address | 14807 STARLITE CIRCLE |
| City | BENNINGTON |
| State | NE |
| ZIP | 68007 |
| Accounting period End | 12 |
| Primary contact name | BRIAN KALASEK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAIGE RIVARD
PRESIDENT
14807 STARLITE CIRCLE
BENNINGTON NE 68007
Officer/Director/Trustee Two
MATT RIVARD
CHAIR
14807 STARLITE CIRCLE
BENNINGTON NE 68007
Officer/Director/Trustee Three
ABBY LITTRELL
SECRETARY
2921 S 74TH STREET
LINCOLN NE 68506
Officer/Director/Trustee Four
SAMANTHA KALASEK
VICE PRESIDENT
20009 PIERCE STREET
OMAHA NE 68130
Officer/Director/Trustee Five
BRIAN KALASEK
TREASURER
20009 PIERCE STREEET
OMAHA NE 68130
| Organization’s website | WWW.PWSAUSA.ORG/NEBRASKA-CHAPTER/ |
|---|---|
| Organization’s email | BKALASEK@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/8/2019 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G20 - Birth Defects and Genetic Diseases |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | BRIAN KALASEK |
| Signature Title | TREASURER |
| Signature Date | 12/20/2019 |
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