| Field | Data |
|---|---|
| EIN | 84-2443141 |
| Case Number | EO-2021028-000276 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NICK NURSE FOUNDATION INC |
| Organization’s Mailing Address | 303 LOCUST STREET STE 300 |
| City | DES MOINES |
| State | IA |
| ZIP | 50309 |
| Accounting period End | 12 |
| Primary contact name | CHARLES WITTMACK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
NICK NURSE
BOARD CHAIR AND PRESIDENT
303 LOCUST STREET STE 300
DES MOINES IA 50309
JEFF BURRIS
DIRECTOR
4203 JENNIFER LANE
CEDAR FALLS IA 50613
FRANK MOLAK
DIRECTOR
3040 PEACHTREE STREET NW UNIT 910
ATLANTA GA 30305
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/18/2019 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N62 - Basketball |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | 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) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | NICK NURSE |
| Signature Title | BOARD CHAIR AND PRESIDENT |
| Signature Date | 12/8/2020 |
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