FORM 1023-EZ for CITYWIDE BEHAVIORAL HEALTH COALITION FOR BLACK ELDERS INC

Field Data
EIN 81-4662092
Case Number EO-2020221-000024
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CITYWIDE BEHAVIORAL HEALTH COALITION FOR BLACK ELDERS INC
Organization’s Mailing Address 588 W 152 STREET
City NEW YORK
State NY
ZIP 10031
Accounting period End 12
Primary contact name JOHN S SAVAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA SULLIVAN
PRESIDENT
588 W 152 STREET
NEW YORK NY 10031

Officer/Director/Trustee Two

GEORGES CASIMIR
TREASURER
4 ANDOVER ROAD
ROCKVILLE CENTER NY 11570

Officer/Director/Trustee Three

ROSEMARY IRVING
SECRETARY
27 WEST 96TH STREET
NEW YORK NY 10025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARTHA SULLIVAN
Signature Title PRESIDENT
Signature Date 8/5/2020

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