FORM 1023-EZ for NICOLES CARDIAC KIDS

Field Data
EIN 46-3559368
Case Number EO-2015033-000479
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NICOLES CARDIAC KIDS
Organization’s Mailing Address 12535 OAK POINT
City PLATTE CITY
State MO
ZIP 64079
Accounting period End 9
Primary contact name ELIZABETH GENOVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH GENOVA
PRESIDENT/SECRETARY
12535 OAK POINT DR
PLATTE CITY MO 64079

Officer/Director/Trustee Two

CATHLEEN ROBY
VICE PRESIDENT
6140 SOUTHLAKE DRIVE
PARKVILLE MO 64152

Officer/Director/Trustee Three

STEPHEN GENOVA
TREASURER
6411 N FLORA AVENUE
GLADSTONE MO 64118

Officer/Director/Trustee Four

CARL GENOVA
DIRECTOR
1842 SWALLOW HILL AVENUE
HENDERSON NV 89012

Officer/Director/Trustee Five

TIFFANY COMUNALE
DIRECTOR
2969 MYRTLE OAKS CIRCLE
DAVIE FL 33328

Organization’s website WWW.NICOLESCARDIACKIDS.ORG
Organization’s email INFO@NICOLESCARDIACKIDS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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