FORM 1023-EZ for PURPOSEFUL NURSE FOUNDATION INCORPORATED

Field Data
EIN 47-2609110
Case Number EO-2014358-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURPOSEFUL NURSE FOUNDATION INCORPORATED
Organization’s Mailing Address 4 AUCHLY LANE
City SAINT PETERS
State MO
ZIP 63376
Accounting period End 12
Primary contact name NIKKO FARMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NIKKO FARMER
DIRECTOR
4 AUCHLY LANE
ST. PETERS MO 63376

Officer/Director/Trustee Two

ANGELA JONES-PEAKS
OFFICER
2011 JUDY COURT
ST. LOUIS MO 63136

Officer/Director/Trustee Three

ANGELA LEWIS
TRUSTEE
37600 CHARTER OAKS
CLINTON TOWNSHIP MI 48036

Organization’s website WWW.PURPOSEFULNURSE.ORG
Organization’s email INFO@PURPOSEFULNURSE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
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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