FORM 1023-EZ for NEW HOPE 4 LUNGS

Field Data
EIN 81-4729286
Case Number EO-2017003-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW HOPE 4 LUNGS
Organization’s Mailing Address 11013 LAFAYETTE PLZ 2106
City OMAHA
State NE
ZIP 68154
Accounting period End 12
Primary contact name TIMOTHY DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY DAVIS
PRESIDENT/SECRETARY
11013 LAFAYETTE PLZ 2106
OMAHA NE 68154

Officer/Director/Trustee Two

COLLEEN DENNIS
TREASURER
11013 LAFAYETTE PLZ 2106
OMAHA NE 68154

Officer/Director/Trustee Three

BRANDON DENNIS
VICE-PRESIDENT
11013 LAFAYETTE PLZ 2106
OMAHA NE 68154

Officer/Director/Trustee Four

LESA ULRICH
DIRECTOR
11013 LAFAYETTE PLZ 2106
OMAHA NE 68154

Officer/Director/Trustee Five

MITZI SCOTTEN
DIRECTOR
11013 LAFAYETTE PLZ 2106
OMAHA NE 68154

Organization’s website WWW.NEWHOPE4LUNGS.ORG
Organization’s email NEWHOPE4LUNGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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