FORM 1023-EZ for NOMAD HUMANITARIAN WORKS

Field Data
EIN 82-3647674
Case Number EO-2020258-000051
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOMAD HUMANITARIAN WORKS
Organization’s Mailing Address 4924 S COUNTRY CLUB WAY
City TEMPE
State AZ
ZIP 85282-7417
Accounting period End 12
Primary contact name JEARL C DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEARL DAVIS
DIRECTOR
4924 S COUNTRY CLUB WAY
TEMPE AZ 85282-7417

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2018
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEARL DAVIS
Signature Title DIRECTOR
Signature Date 9/11/2020
EIN 82-3647674
Case Number EO-2017354-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOMAD HUMANITARIAN WORKS
Organization’s Mailing Address 2004 W OCOTILLO RD
City PHOENIX
State AZ
ZIP 85015-1118
Accounting period End 12
Primary contact name JEARL DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEARL DAVIS
PRESIDENT
2004 W OCOTILLO RD
PHOENIX AZ 85015-1118

Officer/Director/Trustee Two

JOSE AGUILAR
VICE PRESIDENT
6560 W WINSLOW AVE
PHOENIX AZ 85043-7758

Officer/Director/Trustee Three

GEORGE LAWRENCE JR
OFFICER
2004 W OCOTILLO RD
PHOENIX AZ 85015-1118

Officer/Director/Trustee Four

FABIANA GUERRA
OFFICER
4318 KEVINKAY DR
HOUSTON TX 77084-3310

Officer/Director/Trustee Five

ANA FRYMAN
GRANT WRITER
111 SOUTH GREEN DR
ATHENS OH 45701-3141

Organization’s website WWW.NOMADHW.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/17
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 JEARL DAVIS
Signature Title PRESIDENT
Signature Date 12/18/17

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