FORM 1023-EZ for NATE NICHOLSON FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-3011857 |
| Case Number | EO-2019259-000197 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NATE NICHOLSON FOUNDATION |
| Organization’s Mailing Address | 2235 N THORNWOOD AVENUE |
| City | DAVENPORT |
| State | IA |
| ZIP | 52804 |
| Accounting period End | 12 |
| Primary contact name | TAMMY NICHOLSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TAMMY NICHOLSON
SECRETARY/TREASURER/DIRECTOR
2235 N THORNWOOD AVENUE
DAVENPORT IA 52804
Officer/Director/Trustee Two
WHITNI PENA
PRESIDENT/DIRECTOR
1204 OAK STREET
MUSCATINE IA 52761
Officer/Director/Trustee Three
GARY WETHINGTON
DIRECTOR
3249 26TH STREET
ROCK ISLAND IL 61201
Officer/Director/Trustee Four
ROGER CHEFFER
DIRECTOR
2407 12TH STREET
SILVIS IL 61282
Officer/Director/Trustee Five
JEFF FERREL
DIRECTOR
2337 24 1/2 STREET
ROCK ISLAND IL 61201
| Organization’s website | HTTP://WWW.NATENICHOLSONFOUNDATION.COM/ |
|---|---|
| Organization’s email | NATENICHOLSONF@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/19/19 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A68 - Music |
| 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 | 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 | TAMMY NICHOLSON |
| Signature Title | SECRETARY/TREASURER/DIRECTOR |
| Signature Date | 9/14/19 |
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