FORM 1023-EZ for FAITH COMMUNITY NURSES AND HEALTH MINISTRY ASSOCIATION

Field Data
EIN 20-4492811
Case Number EO-2020049-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAITH COMMUNITY NURSES AND HEALTH MINISTRY ASSOCIATION
Organization’s Mailing Address 2650 STAGHORN DR
City TOLEDO
State OH
ZIP 43614
Accounting period End 12
Primary contact name LINDA PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA TAYLOR
PRESIDENT
6864 HAZELDELL
TEMPERANCE MI 48182

Officer/Director/Trustee Two

BETTY NICOLEN
TREASURER
3213 CHELTENHAM RD
TOLEDO OH 43606

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2006
Organization Incorporation State OH
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: 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BETTY NICOLEN
Signature Title TREASURER
Signature Date 2/13/2020

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