FORM 1023-EZ for SIMONE JARDIM FOUNDATION INC

Field Data
EIN 87-0915786
Case Number EO-2021154-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIMONE JARDIM FOUNDATION INC
Organization’s Mailing Address 1865 VETERANS PARK DRIVE SUITE 203
City NAPLES
State FL
ZIP 34109
Accounting period End 12
Primary contact name JAMES R NICI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMONE JARDIM
PRESIDENT
2138 ANTIGUA LANE
NAPLES FL 34120

Officer/Director/Trustee Two

JAMES NICI
VICE PRESIDENT
1865 VETERANS PARK DRIVE SUITE 203
NAPLES FL 34109

Officer/Director/Trustee Three

JAMES NICI
TREASURER
1865 VETERANS PARK DRIVE SUITE 203
NAPLES FL 34109

Officer/Director/Trustee Four

SIMONE JARDIM
SECRETARY
2138 ANTIGUA LANE
NAPLES FL 34120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 JAMES NICI
Signature Title TREASURER
Signature Date 6/1/2021

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