FORM 1023-EZ for NEXA CARES FOUNDATION

Field Data
EIN 85-4193885
Case Number EO-2021088-000497
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEXA CARES FOUNDATION
Organization’s Mailing Address 3100 W RAY ROAD STE 201 OFFICE 209
City CHANDLER
State AZ
ZIP 85226
Accounting period End 12
Primary contact name TIM RICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY RICH
PRESIDENT
2516 MEADOW LARK LANE
COLUMBIA MO 65201

Officer/Director/Trustee Two

MARIA PASCAL-DANIELS
VICE PRESIDENT
3900 SW 56 STREET
FT. LAUDERDALE FL 33312

Officer/Director/Trustee Three

DAVID PYLES
TREASURER
1618 LOST PINES LN
GARLAND TX 75040

Officer/Director/Trustee Four

SHELLEY SIEGEL
SECRETARY
4533 E KINGS AVE
PHOENIX AZ 85032

Officer/Director/Trustee Five

MARIE WILLIAMS
DIRECTOR
889 E LEO PLACE
CHANDLER AZ 85249

Organization’s website
Organization’s email TRICH@NEXAMORTGAGE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2020
Organization Incorporation State AZ
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: 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 Yes
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 TIMOTHY RICH
Signature Title PRESIDENT
Signature Date 2/9/2021

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