FORM 1023-EZ for STARK COUNTY BLACK NURSES ASSOCIATION
| Field | Data |
|---|---|
| EIN | 84-4773445 |
| Case Number | EO-2021193-000698 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | STARK COUNTY BLACK NURSES ASSOCIATION |
| Organization’s Mailing Address | 1225 GROSS AVE NE |
| City | CANTON |
| State | OH |
| ZIP | 44705 |
| Accounting period End | 12 |
| Primary contact name | LISA JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LISA JOHNSON
PRESIDENT
1460 ALGONA DR
N CANTON OH 44720
Officer/Director/Trustee Two
LATOYA DICKENS-JONES
VICE PRESIDENT
2235 TIMES AVE SW
CANTON OH 44706
Officer/Director/Trustee Three
TRACY CURTIS
SECRETARY
1216 48TH ST NW
CANTON OH 44709
Officer/Director/Trustee Four
LAKISHA CUNDIFF
TREASURER
7882 KNOLLRIDGE AVE NE
CANTON OH 44721
Officer/Director/Trustee Five
SHAWNNALOVE MARTIN
MEMBERSHIP CHAIR
731 DEWALT AVE SE
CANTON OH 44707
| Organization’s website | |
|---|---|
| Organization’s email | S.C.B.N.A-EST2020@OUTLOOK.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/1/2020 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| Organization’s purpose | Charitable: No 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 | LISA JOHNSON |
| Signature Title | PRESIDENT |
| Signature Date | 7/8/2021 |
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