FORM 1023-EZ for NADINE WASHINGTON FOUNDATION

Field Data
EIN 84-2956342
Case Number EO-2019266-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NADINE WASHINGTON FOUNDATION
Organization’s Mailing Address 119 CHURCH STREET NUM 131
City FERGUSON
State MO
ZIP 63135
Accounting period End 12
Primary contact name LATASHA HOLIWELL-PEARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATASHA HOLIWELL-PEARSON
CHAIRMAN
8472 JANUARY AVE
BERKELEY MO 63134

Officer/Director/Trustee Two

DERON SMITH
SECRETARY
8361 PEPPER RIDGE
BERKELEY MO 63134

Officer/Director/Trustee Three

BARRY PEARSON
TREASURER
8472 JANUARY AVE
BERKELEY MO 63134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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 LATASHA HOLIWELL-PEARSON
Signature Title CHAIRMAN
Signature Date 9/19/19

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