FORM 1023-EZ for URBAN OUTREACH NURSES

Field Data
EIN 84-2343838
Case Number EO-2020023-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name URBAN OUTREACH NURSES
Organization’s Mailing Address 1201 S AMANTHA AVE
City COMPTON
State CA
ZIP 90220
Accounting period End 12
Primary contact name JOY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOY SMITH
PRESIDENT, TREASURER
1201 S A AMANTHA AVE
COMPTON CA 90220

Officer/Director/Trustee Two

FAITH KINGSBURY
CHAIRPERSON
1201 S AMANTHA AVE
COMPTON CA 90220

Officer/Director/Trustee Three

RENAE WILLIAMS
SECRETARY
1201 S AMANTHA AVE
COMPTON CA 90220

Officer/Director/Trustee Four

SIMON KINGSBURY
CHAIRPERSON
1201 S AMANTHA AVE
COMPTON CA 90220

Officer/Director/Trustee Five

LINDA PALMER
DIRECTOR
1201 S AMANTHA AVE
COMPTON CA 90220

Organization’s website URBANOUTREACHNURSES.ORG
Organization’s email URBANOUTREACHNURSES@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 JOY SMITH
Signature Title PRESIDENT, TREASURER
Signature Date 1/21/2020

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