FORM 1023-EZ for BLACK NURSES ROCK GREATER MEMPHIS

Field Data
EIN 82-5357409
Case Number EO-2021063-000642
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK NURSES ROCK GREATER MEMPHIS
Organization’s Mailing Address 4093 ARCHER DR
City MEMPHIS
State TN
ZIP 38109-4239
Accounting period End 12
Primary contact name TIFFANEE MERRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANEE MERRITT
PRESIDENT
3533 ENCLAVE DR
SOUTHAVEN MS 38672

Officer/Director/Trustee Two

ERINN ADAMS
SECRETARY
PO BOX 617
COLDWATER MS 38618

Officer/Director/Trustee Three

ASHLEE MERRITT
TREASURER
4744 WE ROSS PARKWAY APT 29-104
SOUTHAVEN MS 38671

Officer/Director/Trustee Four

NONE NONE
NONE
NONE
NONE MS 38671

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE TN 38109

Organization’s website NONE
Organization’s email BNR.GREATERMEMPHIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2018
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 TIFFANEE MERRITT
Signature Title PRESIDENT
Signature Date 12/30/2020

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