FORM 1023-EZ for NURSETRUST INC

Field Data
EIN 82-4829675
Case Number EO-2018107-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NURSETRUST INC
Organization’s Mailing Address 25529 FOX POINT LANE
City MILLVILLE
State DE
ZIP 19967
Accounting period End 12
Primary contact name CAITLYN A SHELBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY MANSFIELD
PRESIDENT
169 ASHLEY AVE SUITE 205C
CHARLESTON SC 29425

Officer/Director/Trustee Two

LISA SGARLATA
PRESIDENT-ELECT
25529 FOX POINT LANE
MILLVILLE DE 19967

Officer/Director/Trustee Three

KATHRYN FIANDT
SECRETARY
985330 NEBRASKA MEDICAL CENTER
OMAHA NE 68198

Officer/Director/Trustee Four

JERRY SPICER
TREASURER
25529 FOX POINT LANE
MILLVILLE DE 19967

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State DE
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: Yes
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 LISA SGARLATA
Signature Title PRESIDENT-ELECT
Signature Date 3/26/18

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