FORM 1023-EZ for NIKOLINA S ATTIC INC

Field Data
EIN 47-3766322
Case Number EO-2015112-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NIKOLINA S ATTIC INC
Organization’s Mailing Address 1001 HAWKINS AVENUE UNIT 1482
City LAKE GROVE
State NY
ZIP 11755
Accounting period End 3
Primary contact name KRISTEN JOHANNESSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTEN JOHANNESSEN
DIRECTOR
1001 HAWKINS AVENUE SUITE 1482
LAKE GROVE NY 11755

Officer/Director/Trustee Two

DANIEL JOHANNESSEN
DIRECTOR
1001 HAWKINS AVENUE SUITE 1482
LAKE GROVE NY 11755

Officer/Director/Trustee Three

ANDREW MCLAUGHLIN
DIRECTOR
56 1ST STREET
LAKE RONKONKOMA NY 11779

Organization’s website WWW.NIKOLINASATTIC.ORG
Organization’s email KRISTENJ@NIKOLINASATTIC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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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