FORM 1023-EZ for SOCIETY FOR BLACK NEUROPSYCHOLOGY

Field Data
EIN 85-1719906
Case Number EO-2020281-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCIETY FOR BLACK NEUROPSYCHOLOGY
Organization’s Mailing Address 1300 AVENUE AT PORT IMPERIAL 443
City WEEHAWKEN
State NJ
ZIP 07086
Accounting period End 12
Primary contact name COURTNEY RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COURTNEY RAY
PRESIDENT
1300 AVENUE AT PORT IMPERIAL 443
WEEHAWKEN NJ 07086

Officer/Director/Trustee Two

WILL MCBRIDE
TREASURER
134 TURTLE CREEK RD APT 6
CHARLOTTESVILLE VA 22901

Officer/Director/Trustee Three

KENDRA ANDERSON
EXECUTIVE SECRETARY
12105 FUNICULAR RD
HOUSTON TX 77047

Officer/Director/Trustee Four

VALENCIA MONTGOMERY
RESEARCH DIRECTOR
3335 LANDINGS DRIVE
ANN ARBOR MI 48103

Organization’s website
Organization’s email SOBLACKNEURO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 COURTNEY RAY
Signature Title PRESIDENT
Signature Date 10/5/2020

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