FORM 1023-EZ for NIAS NOBLE INDIVIDUAL ASSISTING SERVICES CORP

Field Data
EIN 85-2597921
Case Number EO-2020244-000692
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIAS NOBLE INDIVIDUAL ASSISTING SERVICES CORP
Organization’s Mailing Address 9495 PERIDOT AVE
City HESPERIA
State CA
ZIP 92344
Accounting period End 12
Primary contact name TAMI SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMI SULLIVAN
PRESIDENT
9495 PERIDOT AVE
HESPERIA CA 92344

Officer/Director/Trustee Two

NIA NICHOLS
VICE PRESIDENT
4404 EXLEY CT
LOUISVILLE KY 40211

Officer/Director/Trustee Three

RAYVON WATTS
DIRECTOR
3424 GATESHEAD MANOR WAY 301
SILVER SPRING MD 20904

Officer/Director/Trustee Four

AJOVI NICHOLS
DIRECTOR
4404 EXLEY CT
LOUISVILLE KY 40211

Officer/Director/Trustee Five

HENNESSY TOLLIVER
DIRECTOR
4404 EXLEY CT
LOUISVILLE KY 40211

Organization’s website
Organization’s email N.A.I.SHELP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 TAMI SULLIVAN
Signature Title PRESIDENT
Signature Date 8/28/2020

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