FORM 1023-EZ for NATIONAL ASSOCIATION OF PERINATAL COMMUNITY HEALTH WORKERS

Field Data
EIN 81-1769176
Case Number EO-2016208-000048
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL ASSOCIATION OF PERINATAL COMMUNITY HEALTH WORKERS
Organization’s Mailing Address 311 47TH ST NE
City WASHINGTON
State DC
ZIP 20019
Accounting period End 12
Primary contact name AZA NEDHARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AZA NEDHARI
DIRECTOR
311 47TH ST NE
WASHINGTON DC 20019

Officer/Director/Trustee Two

JENNY JOSEPH
DIRECTOR
213 S DILLARD ST SUITE 340
WINTER GARDEN FL 34787

Officer/Director/Trustee Three

SHERRY PAYNE
DIRECTOR
3647 TROOST AVE
KANSAS CITY MO 64109

Organization’s website WWW.NAPCHW.ORG
Organization’s email NAPCHW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
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 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
Signature Title
Signature Date

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