FORM 1023-EZ for FRIENDS OF NEBRASKA ASSOCIATION OFSERVICE PROVIDERS

Field Data
EIN 83-2200201
Case Number EO-2019158-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF NEBRASKA ASSOCIATION OFSERVICE PROVIDERS
Organization’s Mailing Address 1200 LIBRA DRIVE SUITE 100
City LINCOLN
State NE
ZIP 68512
Accounting period End 6
Primary contact name KATE BOLZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN MEADE
PRESIDENT
6400
LINCOLN NE 68507

Officer/Director/Trustee Two

CRAIG CASADOS
VICE PRESIDENT
1233 ARAPAHOE STREET
LINCOLN NE 68502

Officer/Director/Trustee Three

MICHELLE JOHNSON
SECRETARY
5730 R ST SUITE C-2
LINCOLN NE 68505

Officer/Director/Trustee Four

KATE BOLZ
DIRECTOR
1200 LIBRA DRIVE
LINCOLN NE 68512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 KATE BOLZ
Signature Title DIRECTOR
Signature Date 6/5/19
EIN 83-2200201
Case Number EO-2019158-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF NEBRASKA ASSOCIATION OF SERVICE PROVIDERS
Organization’s Mailing Address 1200 LIBRA DRIVE SUITE 100
City LINCOLN
State NE
ZIP 68512
Accounting period End 6
Primary contact name KATE BOLZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN MEADE
PRESIDENT
6400
LINCOLN NE 68507

Officer/Director/Trustee Two

CRAIG CASADOS
VICE PRESIDENT
1233 ARAPAHOE STREET
LINCOLN NE 68502

Officer/Director/Trustee Three

MICHELLE JOHNSON
SECRETARY
5730 R ST SUITE C-2
LINCOLN NE 68505

Officer/Director/Trustee Four

KATE BOLZ
DIRECTOR
1200 LIBRA DRIVE
LINCOLN NE 68512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 KATE BOLZ
Signature Title DIRECTOR
Signature Date 6/5/19

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