FORM 1023-EZ for HEALTHY BLACK FAMILIES INC

Field Data
EIN 46-3142614
Case Number EO-2014227-000007
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY BLACK FAMILIES INC
Organization’s Mailing Address 3300 KINGSLAND AVENUE
City OAKLAND
State CA
ZIP 94619-2603
Accounting period End 6
Primary contact name VICKI ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICKI ALEXANDER
PRESIDENT
3300 KINGSLAND AVENUE
OAKLAND CA 94619-2603

Officer/Director/Trustee Two

SHERYL WALTON
VICE-PRESIDENT
2386 109TH AVENUE
OAKLAND CA 94603

Officer/Director/Trustee Three

CECIL DEVERS
SECRETARY
1505 STUART STREET APT 6
BERKELEY CA 94703

Officer/Director/Trustee Four

STARLA GAY
TREASURER
1044 54TH STREET APT B
OAKLAND CA 94608

Officer/Director/Trustee Five

ANDRE SPEARMAN
DIRECTOR
2027 HARRINGTON AVENUE
OAKLAND CA 94601

Organization’s website
Organization’s email ALEXANDERVICKI20@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2013
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
Signature Title
Signature Date

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