FORM 1023-EZ for COCONUT GROVE NEGRO WOMENS CLUB

Field Data
EIN 94-3490795
Case Number EO-2016349-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COCONUT GROVE NEGRO WOMENS CLUB
Organization’s Mailing Address 3506 SOLANA ROAD
City MIAMI
State FL
ZIP 33133-5630
Accounting period End 12
Primary contact name RENITA SAMUELS-DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA B JORDAN
PD
22804 SW 105TH AVENUE
MIAMI FL 33190

Officer/Director/Trustee Two

LORETTA S WHITTLE
VPD
3443 FROW AVENUE
MIAMI FL 33133

Officer/Director/Trustee Three

RENITA SAMUELS-DIXON
FSD
3506 SOLANA ROAD
MIAMI FL 33133-5630

Officer/Director/Trustee Four

ROSE HEDGEMOND
TD
12361 SW 190TH TERR
MIAMI FL 33190

Officer/Director/Trustee Five

LINDA WILLIAMS
SD
3523 CHARLES AVENUE
MIAMI FL 33133

Organization’s website
Organization’s email CGNWC1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/1970
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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