FORM 1023-EZ for FOUNDATION FOR ADDICTIONS NURSING

Field Data
EIN 36-3469005
Case Number EO-2018178-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR ADDICTIONS NURSING
Organization’s Mailing Address 3416 PRIMM LANE
City BIRMINGHAM
State AL
ZIP 35216-5602
Accounting period End 6
Primary contact name ROBERT RANIERI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MERRY FOUGERE
PRESIDENT
1823 SOUTH MT VERNON ST
SPOKANE WA 99223

Officer/Director/Trustee Two

NANCY ALTMAN
SECRETARY
2839 BELLASERA WAY
MATTHEWS NC 28105

Officer/Director/Trustee Three

DIANE SNOW
TREASURER
205 HILLVIEW DR
HURST TX 76054

Officer/Director/Trustee Four

CAROLYN BAIRD
TRUSTEE
1655 NORTH TEGNER
WICKENBURG AZ 85390

Officer/Director/Trustee Five

FRAN CAMPBELL
TRUSTEE
PO BOX 12523
PITTSBURGH PA 15241

Organization’s website WWW.INTNSA.ORG/ABOUT/FAN
Organization’s email INTNSA@INTNSA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/86
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MERRY FOUGERE
Signature Title PRESIDENT
Signature Date 6/25/18

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