FORM 1023-EZ for NICOS HOPE FOR LIFE FOUNDATION PREVENTING SUICIDE AND PROMOTING

Field Data
EIN 83-3981707
Case Number EO-2019126-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICOS HOPE FOR LIFE FOUNDATION PREVENTING SUICIDE AND PROMOTING
Organization’s Mailing Address 1796 CAMERON COURT
City CROFTON
State MD
ZIP 21114
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD OSUNA
PRESIDENT/DIRECTOR
1796 CAMERON CT
CROFTON MD 21114

Officer/Director/Trustee Two

MARK MCCLOY
TREASURER/DIRECTOR
106 STORM HAVENT CT
STEVENSVILLE MD 21666

Officer/Director/Trustee Three

PATRICK OSUNA
SECRETARY/DIRECTOR
1796 CAMERON CT
CROFTON MD 21114

Officer/Director/Trustee Four

KIMBERLY BEVERLY
DIRECTOR
106 EAST SEVERN RIDGE ROAD
ANNAPOLOS MD 21409

Officer/Director/Trustee Five

AMY WALLAR
DIRECTOR
4 CHERRYTREE CT
PALM COAST FL 32137

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GERALD OSUNA
Signature Title PRESIDENT/DIRECTOR
Signature Date 5/2/19

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