FORM 1023-EZ for NICOLAS VISION SUPPORT FOUNDATION INC

Field Data
EIN 47-3888104
Case Number EO-2015160-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NICOLAS VISION SUPPORT FOUNDATION INC
Organization’s Mailing Address 4225 NW 25 PLACE
City LAUDERHILL
State FL
ZIP 33313
Accounting period End 12
Primary contact name NICK VALIAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLAS VALIAS
PRESIDENT
4225 NW 25 PLACE
LAUDERHILL FL 33313

Officer/Director/Trustee Two

PATRICK DADAILLE
VICE PRESIDENT
8340 SANDS POINT BLVD P307
TAMARAC FL 33321

Officer/Director/Trustee Three

GUY BURY
VICE PRESIDENT
320 SOUTH FLAMINGO ROAD 172
PEMBROKE PINES FL 33027

Organization’s website
Organization’s email NJVALIAS@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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