FORM 1023-EZ for NURSES WHO VACCINATE INC

Field Data
EIN 47-2571073
Case Number EO-2015349-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NURSES WHO VACCINATE INC
Organization’s Mailing Address 654 NORTH WELLWOOD AVE SUITE D 137
City LINDENHURST
State NY
ZIP 11757
Accounting period End 12
Primary contact name MELODY BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELODY BUTLER
PRESIDENT
115 N 4TH STREET
LINDENHURST NY 11757

Officer/Director/Trustee Two

MARY BETH KOSLAP-PETRACO
VICE PRESIDENT
240 ABBEY STREET
MASSAPEQUA PARK NY 11762

Officer/Director/Trustee Three

PATTI WUKOVITS
SECRETARY
95 GEM LANE
MASSAPEQUA PARK NY 11762

Officer/Director/Trustee Four

DANIEL MCCARTHY
TREASURER
369 GREAT EAST NECK RD
WEST BABYLON NY 11704

Organization’s website WWW.NURSESWHOVACCINATE.ORG
Organization’s email NURSESWHOVACCINATE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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