FORM 1023-EZ for MIDLANDS SOCIETY OF PHYSIOLOGICAL SCIENCES

Field Data
EIN 84-4266115
Case Number EO-2020021-000610
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDLANDS SOCIETY OF PHYSIOLOGICAL SCIENCES
Organization’s Mailing Address 985850 NEBRASKA MEDICAL CTR
City OMAHA
State NE
ZIP 68198-5850
Accounting period End 12
Primary contact name HAROLD D SCHULTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD SCHULTZ
PRESIDENT
1101 DILLON DR
OMAHA NE 68132

Officer/Director/Trustee Two

NEERU SHARMA
SECRETARY TREASURER
587 180TH AVE
ELKHORN NE 68022

Officer/Director/Trustee Three

DUSTIN SLIVKA
PRESIDENT ELECT
5002 BURT ST
OMAHA NE 68132

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2019
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H03 - Professional Societies, Associations
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 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 HAROLD SCHULTZ
Signature Title PRESIDENT
Signature Date 1/17/2020

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