FORM 1023-EZ for MARTIN COUNTY BLACK HERITAGE INITIATIVES INC

Field Data
EIN 85-3143802
Case Number EO-2021032-000395
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARTIN COUNTY BLACK HERITAGE INITIATIVES INC
Organization’s Mailing Address 1193 PORT ST LUCIE BLVD STE 254
City PORT ST LUCIE
State FL
ZIP 34952
Accounting period End 9
Primary contact name ADAM FETTERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANDLER JOSIE
SECRETARY
1193 PORT ST LUCIE BLVD STE 2541193
PORT ST LUCIE FL 34952

Officer/Director/Trustee Two

GEORGINA ANDERSON
TREASURER
1193 PORT ST LUCIE BLVD STE 254
PORT ST LUCIE FL 34952

Officer/Director/Trustee Three

LLOYD JONES
CHAIR
1193 PORT ST LUCIE BLVD STE 254
PORT ST LUCIE FL 34952

Organization’s website N/A
Organization’s email MCBLACKHERITAGEINITIATIVES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LLOYD JONES
Signature Title CHAIR
Signature Date 12/4/2020

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