FORM 1023-EZ for ETA ETA ETA CHAPTER OF CHI ETA PHISORORITY INCORPORATED
| Field | Data |
|---|---|
| EIN | 84-1854585 |
| Case Number | EO-2019186-000292 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ETA ETA ETA CHAPTER OF CHI ETA PHISORORITY INCORPORATED |
| Organization’s Mailing Address | 4904 CAMINO AL NORTE 335178 |
| City | NORTH LAS VEGAS |
| State | NV |
| ZIP | 89031 |
| Accounting period End | 6 |
| Primary contact name | DR KEESHA DAVIS DNP RN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEESHA DAVIS
PRESIDENT
6916 CEDAR BASIN AVE
LAS VEGAS NV 89142
Officer/Director/Trustee Two
LOWRYANNE VICK
VICE PRESIDENT
245 EAST CENTENNIAL PKWY 2129
NORTH LAS VEGAS NV 89084
Officer/Director/Trustee Three
ANGELA HARDING
RECORDING SECRETARY
3617 KING FISHERS CATCH AVENUE
NORTH LAS VEGAS NV 89084
Officer/Director/Trustee Four
APRYLL LLOYD-JACKSON
CORRESPONDING SECRETARY
6142 MARVIN STREET
NORTH LAS VEGAS NV 89031
Officer/Director/Trustee Five
TIFFANI SAMUEL
TREASURER
1208 SILENT SUNSET AVENUE
NORTH LAS VEGAS NV 89084
| Organization’s website | |
|---|---|
| Organization’s email | CHIETAPHIHHHLV@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/8/19 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E90 - Nursing Services (General) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KEESHA DAVIS |
| Signature Title | PRESIDENT |
| Signature Date | 7/3/19 |
| EIN | 84-1854585 |
| Case Number | EO-2019186-000292 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ETA ETA ETA CHAPTER OF CHI ETA PHI SORORITY INCORPORATED |
| Organization’s Mailing Address | 4904 CAMINO AL NORTE 335178 |
| City | NORTH LAS VEGAS |
| State | NV |
| ZIP | 89031 |
| Accounting period End | 6 |
| Primary contact name | DR KEESHA DAVIS DNP RN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEESHA DAVIS
PRESIDENT
6916 CEDAR BASIN AVE
LAS VEGAS NV 89142
Officer/Director/Trustee Two
LOWRYANNE VICK
VICE PRESIDENT
245 EAST CENTENNIAL PKWY 2129
NORTH LAS VEGAS NV 89084
Officer/Director/Trustee Three
ANGELA HARDING
RECORDING SECRETARY
3617 KING FISHERS CATCH AVENUE
NORTH LAS VEGAS NV 89084
Officer/Director/Trustee Four
APRYLL LLOYD-JACKSON
CORRESPONDING SECRETARY
6142 MARVIN STREET
NORTH LAS VEGAS NV 89031
Officer/Director/Trustee Five
TIFFANI SAMUEL
TREASURER
1208 SILENT SUNSET AVENUE
NORTH LAS VEGAS NV 89084
| Organization’s website | |
|---|---|
| Organization’s email | CHIETAPHIHHHLV@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/8/19 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E90 - Nursing Services (General) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KEESHA DAVIS |
| Signature Title | PRESIDENT |
| Signature Date | 7/3/19 |
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