FORM 1023-EZ for BORN TO BE A NATURAL LEADER

Field Data
EIN 46-1534872
Case Number EO-2021263-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORN TO BE A NATURAL LEADER
Organization’s Mailing Address 475 ELINOR AVENUE
City ROSELLE PARK
State NJ
ZIP 07204
Accounting period End 12
Primary contact name ANGELA V MCKNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS HARTLEY
VP BOARD MEMBER
475 ELINOR AVENUE
ROSELL PARK NJ 07204

Officer/Director/Trustee Two

SHERELL HOLLINS
SECRETARY BOARD MEMBER
145-35 133RD AVENUE
SOUTH OZONE PARK NY 11436

Officer/Director/Trustee Three

JENNIFER SINGLETON
BOARD MEMBER
80 MAIDEN LANE NUMBER 1402
NEW YORK NY 10038

Officer/Director/Trustee Four

ANNETTE BILLINGS-CLARK
TREASURER
1028 LAURA STREET
ELIZABETH NJ 07201

Officer/Director/Trustee Five

SIMEKO HARTLEY
PRESIDENT
475 ELINOR AVENUE
ROSELLE PARK NJ 07204

Organization’s website
Organization’s email BORNTOBEANATURALLEADER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2012
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Correctness Declaration Yes
Signature Name SIMEKO HARTLEY
Signature Title PRESIDENT
Signature Date 9/16/2021

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