FORM 1023-EZ for NURSEIO FOUNDATION

Field Data
EIN 86-3764398
Case Number EO-2021133-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NURSEIO FOUNDATION
Organization’s Mailing Address 39506 N DAISY MOUNTAIN DR STE 12245
City ANTHEM
State AZ
ZIP 85086-1663
Accounting period End 12
Primary contact name SETH COURSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE MADEROS
PRESIDENT
6517 W SOFTWIND DRIVE
GLENDALE AZ 85310

Officer/Director/Trustee Two

RYAN KOBER
TREASURER
22608 N 39TH RUN
PHOENIX AZ 85050-5400

Officer/Director/Trustee Three

SETH COURSON
SECRETARY
39506 N DAISY MOUNTAIN DR STE 12245
ANTHEM AZ 85086-1663

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E90 - Nursing Services (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEVE MADEROS
Signature Title PRESIDENT
Signature Date 5/11/2021

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