FORM 1023-EZ for NICEVILLE SENIOR CENTER FOUNDATIONINC

Field Data
EIN 83-3517203
Case Number EO-2019289-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICEVILLE SENIOR CENTER FOUNDATIONINC
Organization’s Mailing Address 206 PARTIN DR N
City NICEVILLE
State FL
ZIP 32578
Accounting period End 12
Primary contact name SHEILA BISHOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA ARDERY
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Officer/Director/Trustee Two

SHEILA BISHOP
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Officer/Director/Trustee Three

LANNIE CORBIN
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Officer/Director/Trustee Four

DAVID GOETSCH
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Officer/Director/Trustee Five

TERESA HALVERSON
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Organization’s website WWW.CITYOFNICEVILLE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/19
Organization Incorporation State FL
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 SHEILA BISHOP
Signature Title DIRECTOR
Signature Date 10/14/19
EIN 83-3517203
Case Number EO-2019289-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICEVILLE SENIOR CENTER FOUNDATION INC
Organization’s Mailing Address 206 PARTIN DR N
City NICEVILLE
State FL
ZIP 32578
Accounting period End 12
Primary contact name SHEILA BISHOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA ARDERY
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Officer/Director/Trustee Two

SHEILA BISHOP
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Officer/Director/Trustee Three

LANNIE CORBIN
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Officer/Director/Trustee Four

DAVID GOETSCH
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Officer/Director/Trustee Five

TERESA HALVERSON
DIRECTOR
206 PARTIN DRIVE N
NICEVILLE FL 32578

Organization’s website WWW.CITYOFNICEVILLE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/19
Organization Incorporation State FL
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 SHEILA BISHOP
Signature Title DIRECTOR
Signature Date 10/14/19

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