FORM 1023-EZ for NDV HEALING AND SUPPORT INC
| Field | Data |
|---|---|
| EIN | 85-0627015 |
| Case Number | EO-2020143-000158 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NDV HEALING AND SUPPORT INC |
| Organization’s Mailing Address | 5605 SHERIDAN ROAD 672 |
| City | KENOSHA |
| State | WI |
| ZIP | 53140 |
| Accounting period End | 12 |
| Primary contact name | THERESA SIMON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
THERESA SIMON
PRES/FOUNDER/CEO/DIRECTOR 1
4723 37TH AVENUE APT 4
KENOSHA WI 53144
Officer/Director/Trustee Two
CHARISSA SIMON-WRIGHT
TREASURER/DIRECTOR 4
248 S CANDLESTICK WAY
WAUKEGAN IL 60085
Officer/Director/Trustee Three
YOLANDA OLIVER
SECRETARY/DIRECTOR 3
5605 SHERIDAN ROAD 672
KENOSHA WI 53140
Officer/Director/Trustee Four
KENYA GRAY
DIRECTOR 2
5605 SHERIDAN ROAD 672
KENOSHA WI 53140
| Organization’s website | |
|---|---|
| Organization’s email | DOMESTICVIOLENCEHEALING@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/3/2020 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P43 - Family Violence Shelters, Services |
| 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 | THERESA SIMON |
| Signature Title | PRES/FOUNDER/CEO/DIRECTOR 1 |
| Signature Date | 5/20/2020 |
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