FORM 1023-EZ for THE CONCERNED BLACK WOMAN OF CALVERT COUNTY INC

Field Data
EIN 20-1333798
Case Number EO-2017236-000167
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CONCERNED BLACK WOMAN OF CALVERT COUNTY INC
Organization’s Mailing Address PO BOX 927
City PRINCE
State MD
ZIP 20678
Accounting period End 5
Primary contact name PAMELA COUSINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA COUSINS
PRESIDENT
9910 MCINTOSH DR
DUNKIRK MD 20754

Officer/Director/Trustee Two

INEZ CLAGGETT
VICE PRESIDENT
PO BOX 479
OWINGS MD 20736

Officer/Director/Trustee Three

PAMELA MACKALL
RECORDING SECRETARY
6690 MACKALL RD
ST LEONARD MD 20685

Officer/Director/Trustee Four

BARBARA BROUSSARD
TREASURER
4010 LELIA LANE
PORT REPUBLIC MD 20676

Officer/Director/Trustee Five

DORIS CAMMACK SPENCER
BOARD MEMBER
4014 17TH STREET
CHESAPEAKE BEACH MD 20732

Organization’s website WWW.CONCERNEDBLACKWOMENCALVERTCOUNTY.ORG
Organization’s email CBWPRES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2004
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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