FORM 1023-EZ for NURSING INSTITUTE FOR HEALTHCARE DESIGN FOUNDATION INC

Field Data
EIN 81-1549573
Case Number EO-2016056-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NURSING INSTITUTE FOR HEALTHCARE DESIGN FOUNDATION INC
Organization’s Mailing Address 128 PROSPECT AVENUE
City DOUGLASTON
State NY
ZIP 11363
Accounting period End 12
Primary contact name ROCHELLE NECHIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBBIE GREGORY
PRES
1411 SOUTH LAMAR BLVD
OXFORD MS 38655

Officer/Director/Trustee Two

JAYNELLE F STICKLER
VP
2823 CALMAR DRIVE
ESCONDIDO CA 92029

Officer/Director/Trustee Three

SUSAN R SILVERMAN
TREASURER
147 PROSPECT PLACE
BROOKLYN NY 11238

Officer/Director/Trustee Four

KATHY OAKLAND
SECRETARY
PO BOX 203
VERGAS MN 56587

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2016
Organization Incorporation State NY
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 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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