FORM 1023-EZ for SAMPSONS INTERNATIONAL NURSING SOCIETY INC

Field Data
EIN 87-1728209
Case Number EO-2021204-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMPSONS INTERNATIONAL NURSING SOCIETY INC
Organization’s Mailing Address 4400 23RD AVE SW
City NAPLES
State FL
ZIP 34116
Accounting period End 12
Primary contact name LINDA HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA HILL
PRESIDENT
4400 23RD AVE SW
NAPLES FL 34116

Officer/Director/Trustee Two

BARBARA BELKOFF
VICE PRESIDENT
853 MANATEE RD
NAPLES FL 34114

Officer/Director/Trustee Three

PAT PRUSS
SECRETARY
8 HENDERSON DR
NAPLES FL 34114

Officer/Director/Trustee Four

MILSA PALACIOS
TREASURER
2575 NORTHBROOKE PLAZA DR STE 201
NAPLES FL 34119

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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 LINDA HILL
Signature Title PRESIDENT
Signature Date 7/21/2021

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