FORM 1023-EZ for BLACK NURSES ROCK SAN ANTONIO CHAPTER

Field Data
EIN 81-3246536
Case Number EO-2020210-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK NURSES ROCK SAN ANTONIO CHAPTER
Organization’s Mailing Address 1538 CABLE RANCH RD -APT 1206
City SAN ANTONIO
State TX
ZIP 78245
Accounting period End 12
Primary contact name CHARLOTTE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLOTTE DAVIS
PRESIDENT
1538 CABLE RANCH RD-APT 1206
SAN ANTONIO TX 78245

Officer/Director/Trustee Two

GLORIA NICHOLS
SECRETARY
20109 REGENCY RUN
GARDEN RIDGE TX 78266

Officer/Director/Trustee Three

JACQUELINE SMITH
TREASURER
10402 FOX HOLLOW
SAN ANTONIO TX 78217

Officer/Director/Trustee Four

OLIVIA SHERIDAN-PEAVY
DIRECTOR OF MEMBERSHIP
438 SORENSTAM WAY
CIBOLO TX 78108

Officer/Director/Trustee Five

JACKIE MITCHELL
DIRECTOR OF MEMBERSHIP
151 WOODSTONE LOOP
CIBOLO TX 78108

Organization’s website
Organization’s email BNRSACHAPTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2016
Organization Incorporation State TX
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLOTTE DAVIS
Signature Title PRESIDENT
Signature Date 7/23/2020

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