FORM 1023-EZ for NIGHTINGALE NURSES

Field Data
EIN 83-3819729
Case Number EO-2019210-000538
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIGHTINGALE NURSES
Organization’s Mailing Address 1519 NORTH POINT DRIVE UNIT 204
City RESTON
State VA
ZIP 20194
Accounting period End 12
Primary contact name TINA M HESS HEEBNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA HEEBNER
PRESIDENT
1519 NORTH POINT DRIVE UNIT 204
RESTON VA 20194

Officer/Director/Trustee Two

MICHAEL BROWNE
VICE PRESIDENT
7020 ALICENT PLACE
MCLEAN VA 22101

Officer/Director/Trustee Three

CAROLINE TRUDEAU
SECRETARY
1670 PARKCREST CIRCLE UNIT 300
RESTON VA 20190

Officer/Director/Trustee Four

LINDA REMER
TREASURER
4055 HOGAN DRIVE UNIT 705
TYLER TX 75709

Officer/Director/Trustee Five

TIM TURNBACH
DIRECTOR
161 APPLE LANE
BERWICK PA 17821

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TINA HEEBNER
Signature Title PRESIDENT
Signature Date 7/27/19

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