FORM 1023-EZ for A TEACHER AND A NURSE TEEN LIFE CENTER INC

Field Data
EIN 86-3847194
Case Number EO-2021165-000608
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A TEACHER AND A NURSE TEEN LIFE CENTER INC
Organization’s Mailing Address 4768 AMBITION COURT
City MILTON
State FL
ZIP 32570
Accounting period End 12
Primary contact name LUCILLE DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCILLE SILVA-DIXON
DIRECTOR
4768 AMBITION COURT
MILTON FL 32570

Officer/Director/Trustee Two

TARA WOODALL
OFFICER
5180 WINDMILL PLACE
EVANS GA 30809

Officer/Director/Trustee Three

MARY BROWN-SILVA
OFFICER
6103 TALL PINE ROAD
TALLAHASSEE FL 32303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 LUCILLE SILVA-DIXON
Signature Title DIRECTOR
Signature Date 6/11/2021

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