FORM 1023-EZ for VALLEY NURSES ASSOCIATION INCORPORATED

Field Data
EIN 81-2803997
Case Number EO-2018130-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALLEY NURSES ASSOCIATION INCORPORATED
Organization’s Mailing Address 345 WEST VIENTO STREET
City MOUNTAIN HOUSE
State CA
ZIP 95391-2064
Accounting period End 4
Primary contact name KIMBERLY WESLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY WESLEY
CEO-CNO-CIO
345 WEST VIENTO STREET
MOUNTAIN HOUSE CA 95391-2064

Officer/Director/Trustee Two

MICHAEL WESLEY
CFO
6840 MCNAMEE
PAGEDALE MO 63133

Officer/Director/Trustee Three

ASHANTI HIGHTOWER
SECRETARY
6353 YALE ROAD
BARTLETT TN 38134

Organization’s website VALLEYNURSESASSOCIATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: No
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 KIMBERLY WESLEY
Signature Title CEO-CNO-CIO
Signature Date 5/6/18

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