FORM 1023-EZ for NAMI BLOCK ISLAND INC

Field Data
EIN 83-2915592
Case Number EO-2019030-000593
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAMI BLOCK ISLAND INC
Organization’s Mailing Address 660 CORN NECK ROAD
City BLOCK ISLAND
State RI
ZIP 2807
Accounting period End 12
Primary contact name JAMES HINTHORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES HINTHORN
PRESIDENT
660 CORN NECK ROAD
BLOCK ISLAND RI 2807

Officer/Director/Trustee Two

PATRICK TENGWALL
TREASURER
PO BOX 1737
BLOCK ISLAND RI 2807

Officer/Director/Trustee Three

SOCHA COHEN
SECRETARY
PO BOX 1102
BLOCK ISLAND RI 2807

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/18
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 JAMES HINTHORN
Signature Title PRESIDENT
Signature Date 12/26/18

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