FORM 1023-EZ for WELLNESS FOR OMAHA INC
| Field | Data |
|---|---|
| EIN | 82-2157395 |
| Case Number | EO-2017207-000096 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WELLNESS FOR OMAHA INC |
| Organization’s Mailing Address | 6909 SOUTH 157TH STREET SUITE 6-H |
| City | OMAHA |
| State | NE |
| ZIP | 68136 |
| Accounting period End | 12 |
| Primary contact name | WILLIAM LUKE BLACKBURN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHASE DEAN LHEUREUX
PRESIDENT
11833 SOUTH 210TH CIRELE
GRETNA NE 68028
Officer/Director/Trustee Two
WILLIAM LUKE BLACKBURN
DIRECTOR, SECRETARY, TREASURER
8010 SOUTH 166TH STREET
OMAHA NE 68136
Officer/Director/Trustee Three
KEVIN STANEK
DIRECTOR
1311 SOUTH STEPHENSON AVE SUITE 4
IRON MOUNTAIN MI 49801
Officer/Director/Trustee Four
PAUL COX
DIRECTOR
4914 NORTH 135TH AVENUE
OMAHOA NE 68164
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/11/2017 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E30 - Health Treatment Facilities, Primarily Outpatient |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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