FORM 1023-EZ for NIRVANA FOUNDATION INC

Field Data
EIN 84-2988180
Case Number EO-2019259-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIRVANA FOUNDATION INC
Organization’s Mailing Address 378 NORTHLAKE BLVD STE 109
City NORTH PALM BEACH
State FL
ZIP 33408
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLON COVER
PRESIDENT AND CEO
378 NORTHLAKE BLVD STE 109
NORTH PALM BEACH FL 33408

Officer/Director/Trustee Two

AJA CARTWRIGHT
DIRECTOR
378 NORTHLAKE BLVD STE 109
NORTH PALM BEACH FL 33408

Officer/Director/Trustee Three

BRIANA MONROE
DIRECTOR
378 NORTHLAKE BLVD STE 109
NORTH PALM BEACH FL 33408

Officer/Director/Trustee Four

PATRICE COVER
DIRECTOR
378 NORTHLAKE BLVD STE 109
NORTH PALM BEACH FL 33408

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 MARLON COVER
Signature Title PRESIDENT AND CEO
Signature Date 9/10/19

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