FORM 1023-EZ for NURSES WITH HEART

Field Data
EIN 85-0936847
Case Number EO-2021089-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NURSES WITH HEART
Organization’s Mailing Address 3900 PASEO DEL SOL C-19
City SANTA FE
State NM
ZIP 87507
Accounting period End 12
Primary contact name CAROLYN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN MOORE
CHIEF EXECUTIVE OFFICER
3900 PASEO DEL SOL C-19
SANTA FE NM 87507

Officer/Director/Trustee Two

ELAIS PONTON
CHIEF OPERATING OFFICER
3900 PASEO DEL SOL C-19
SANTA FE NM 87507

Officer/Director/Trustee Three

DAVID HANSEN
CHIEF FINANCIAL OFFICER
3900 PASEO DEL SOL C-19
SANTA FE NM 87507

Officer/Director/Trustee Four

BETH FAURE
SECRETARY
3900 PASEO DEL SOL C-19
SANTA FE NM 87507

Officer/Director/Trustee Five

BRENDA MARES
DIRECTOR
3900 PASEO DEL SOL C-19
SANTA FE NM 87507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, 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 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 CAROLYN MOORE
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/10/2021

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