FORM 1023-EZ for NEVADA SCHOOL BASED HEALTH CENTERS

Field Data
EIN 82-2395940
Case Number EO-2018022-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEVADA SCHOOL BASED HEALTH CENTERS
Organization’s Mailing Address 2480 E TOMPKINS AVE SUITE 222
City LA VEGAS
State NV
ZIP 89121-7394
Accounting period End 12
Primary contact name FRED SCHULTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRED SCHULTZ
PRESIDENT
2480 E TOMPKINS AVE SUITE 222
LAS VEGAS NV 89121-7394

Officer/Director/Trustee Two

ROXANA VALETON
VICE PRESIDENT
2480 E TOMPKINS AVE SUITE 222
LAS VEGAS NV 89121-7394

Officer/Director/Trustee Three

DAVID OSMAN
TREASURER
2480 E TOMPKINS AVE SUITE 222
LAS VEGAS NV 89121-7394

Officer/Director/Trustee Four

RITA NADRAMIA
SECRETARY
2480 E TOMPKINS AVE SUITE 222
LAS VEGAS NV 89121-7394

Officer/Director/Trustee Five

SUE BROOKS
DIRECTOR
2480 E TOMPKINS AVE SUITE 222
LAS VEGAS NV 89121-7394

Organization’s website
Organization’s email FREDSCHULTZ@POSITIVELYKIDS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/14
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 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 ROXANA VALETON
Signature Title VICE PRESIDENT
Signature Date 1/18/18

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