FORM 1023-EZ for BLACK LEADERS IN NURSING

Field Data
EIN 85-0858600
Case Number EO-2020121-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK LEADERS IN NURSING
Organization’s Mailing Address 28 NUTMEG DRIVE
City LUMBERTON
State NJ
ZIP 08048
Accounting period End 12
Primary contact name MEESHA CAREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEESHA CAREY
INCORPORATOR
28 NUTMEG DRIVE
LUMBERTON NJ 08048

Officer/Director/Trustee Two

SHELLI-ANN MCKENZIE
INCORPORATOR
1971 BIRCH CREST PLACE
DACULA GA 30019

Officer/Director/Trustee Three

ANDREA MEDWINTER
TRUSTEE
10 RIVER ROAD APT 5R
NEW YORK NY 10044

Officer/Director/Trustee Four

ESTACY PORTER
TRUSTEE
6231 FREEDOM CIRCLE
GROVETOWN GA 30813

Officer/Director/Trustee Five

DENISE JOSEPHS
TRUSTEE
60 BLACK ROCK COURT
OXFORD GA 30054

Organization’s website HTTPS://BWLN.ORG
Organization’s email ADMIN@BWLN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MEESHA CAREY
Signature Title INCORPORATOR
Signature Date 4/28/2020

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