FORM 1023-EZ for MIAMI DADE CHAPTER - NPHC INC

Field Data
EIN 47-2528206
Case Number EO-2017137-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIAMI DADE CHAPTER - NPHC INC
Organization’s Mailing Address 915 NW 1ST AVE H 1002
City MIAMI
State FL
ZIP 33136
Accounting period End 12
Primary contact name GLYN BRADLEY SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PIERRELA JEANBAPTISTE
PRESIDENT
915 NW 1ST AVE H1002
MIAMI FL 33136

Officer/Director/Trustee Two

ANTOINETTE SYMONETTE
VICE-PRESIDENT
14542 SW 104TH PL
MIAMI FL 33157

Officer/Director/Trustee Three

AHMAD NEWBOLD
FINANCIAL SECRETARY
21087 NW 22ND AVE NO 121
MIAMI FL 33056

Officer/Director/Trustee Four

DR VENITA B TIMPSON
TREASURER
1315 NW 51ST ST
MIAMI FL 33142

Organization’s website NONE
Organization’s email MIAMIDADE_NPHC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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
Signature Title
Signature Date

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