FORM 1023-EZ for THE NOW I AM NIA FOUNDATION INCORPORATED

Field Data
EIN 84-2432467
Case Number EO-2019240-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE NOW I AM NIA FOUNDATION INCORPORATED
Organization’s Mailing Address 11 HAMILTON AVE
City NORWALK
State CT
ZIP 6854-3509
Accounting period End 12
Primary contact name JACQUELYN LAVONE ROBERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE ROBERSON
BOARD MEMBER
11 HAMILTON AVE
NORWALK CT 6854-3509

Officer/Director/Trustee Two

JOSEPH ROBERSON III
BOARD MEMBER
11 HAMILTON AVE
NORWALK CT 6854-3509

Officer/Director/Trustee Three

JASMIN ROBERSON
BOARD MEMBER
11 HAMILTON AVE
NORWALK CT 6854-3509

Officer/Director/Trustee Four

JACQUELYN ROBERSON
CHIEF EXECUTIVE OFFICER
11 HAMILTON AVE
NORWALK CT 6854-3509

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Correctness Declaration Yes
Signature Name JACQUELYN ROBERSON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 8/26/19

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