FORM 1023-EZ for OPERATION HAPPY NURSE

Field Data
EIN 84-4925952
Case Number EO-2020132-000125
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPERATION HAPPY NURSE
Organization’s Mailing Address 330 N COLUMBUS ST
City ALEXANDRIA
State VA
ZIP 22314
Accounting period End 12
Primary contact name SHANNON MCPEEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON MCPEEK
PRESIDENT
330 N COLUMBUS ST
ALEXANDRIA VA 22314

Officer/Director/Trustee Two

JULIA MCPEEK
TREASURER
330 N COLUMBUS ST
ALEXANDRIA VA 22314

Officer/Director/Trustee Three

SAMANTHA REENE
SECRETARY
2509 MAIN STREET
LAFAYETTE IN 47904

Officer/Director/Trustee Four

PAMELA KARAGORY
BOARD MEMBER
1937 ABBOTSBURY WAY
LAFAYETTE IN 47909

Officer/Director/Trustee Five

JULIA KIVISTIK
BOARD MEMBER
6605 HUNTERS GLEN
SOUTHHAVEN MS 38671

Organization’s website
Organization’s email OPERATIONHAPPYNURSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHANNON MCPEEK
Signature Title PRESIDENT
Signature Date 5/7/2020

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