FORM 1023-EZ for COLUMBIA AREA BLACK NURSES ASSOCIATION

Field Data
EIN 82-4625593
Case Number EO-2018239-000429
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBIA AREA BLACK NURSES ASSOCIATION
Organization’s Mailing Address 319 LOCKLEVEN DRIVE
City COLUMBIA
State SC
ZIP 29223
Accounting period End 12
Primary contact name GENEVA HOLIDAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WHAKEELA JAMES
PRESIDENT/ INCORPORATOR
319 LOCKLEVEN DRIVE
COLUMBIA SC 29223

Officer/Director/Trustee Two

LORIE SAMUEL
2ND VICE PRESIDENT
427 CADDIS CREEK ROAD
IRMO SC 29063

Officer/Director/Trustee Three

TRINITA FLOYD
1ST VICE PRESIDENT
1800 SPOTSWOOD DRIVE
COLUMBIA SC 29210

Officer/Director/Trustee Four

GENEVA HOLIDAY
TREASURER
122 FLUTTER DRIVE
LEXINGTON SC 29072

Officer/Director/Trustee Five

VERLISHA GOINS
SECRETARY
209 ABNEY ESTATES DRIVE
BLYTHEWOOD SC 29016

Organization’s website WWW.COLUMBIAAREABNA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/18
Organization Incorporation State SC
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 GENEVA HOLIDAY
Signature Title TREASURER
Signature Date 8/23/18

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