FORM 1023-EZ for HEALTHCARE PROFESSIONALS ASSOCIATION OF NORTH WEST FLORIDA INC

Field Data
EIN 61-1871830
Case Number EO-2018106-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHCARE PROFESSIONALS ASSOCIATION OF NORTH WEST FLORIDA INC
Organization’s Mailing Address 6901-A N 9TH AVENUE
City PENSACOLA
State FL
ZIP 32504
Accounting period End 12
Primary contact name AMANDA WADDELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA WADDELL
PRESIDENT
2355 TALL OAK DRIVE
CANTONMENT FL 32533

Officer/Director/Trustee Two

JOHN HORTON
VICE PRESIDENT
960 LANGLEY AVENUE
PENSACOLA FL 32504

Officer/Director/Trustee Three

KENNY HOLT
SECRETARY
1602 N REUS STREET
PENSACOLA FL 32501

Officer/Director/Trustee Four

STELLA MALAMO
TREASURER
C/O BROOKDALE AT 8700 UNIVERSITY PK
PENSACOLA FL 32514

Officer/Director/Trustee Five

JENNIFER PIVER
SPECIAL EVENTS COODINATOR
3740 BENGAL ROAD
GULF BREEZE FL 32563

Organization’s website N/A
Organization’s email TSMITH@SHELLFLEMING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMANDA WADDELL
Signature Title PRESIDENT
Signature Date 4/10/18

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