FORM 1023-EZ for THE NICHOLAS WOZNIAK FOUNDATION INC

Field Data
EIN 47-2854538
Case Number EO-2015036-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE NICHOLAS WOZNIAK FOUNDATION INC
Organization’s Mailing Address 2463 WOODSTORK COURT
City SAINT AUGUSTINE
State FM
ZIP 32092
Accounting period End 1
Primary contact name ANTHONY IANNONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY IANNONE
PRESIDENT
2463 WOODSTORK COURT
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Two

RANDY SUMNER
VICE PRESIDENT
1321 TILTON DRIVE
FRANKLIN TN 37067

Officer/Director/Trustee Three

JASON WOZNIAK
SECRETARY/TREASURER
7149 35TH AVENUE
GAINESVILLE FL 32608

Officer/Director/Trustee Four

RACHEL WOZNIAK
DIRECTOR
101 LAKESHORE DRIVE
SAVANNAH GA 31419

Officer/Director/Trustee Five

EDWARD NEWBERRY
DIRECTOR
110 BRECKENRIDGE DRIVE
SPRINGFIELD GA 31329

Organization’s website
Organization’s email ANTHONY@ENCOMPASSIC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2015
Organization Incorporation State FL
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 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
Signature Title
Signature Date

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