FORM 1023-EZ for BLACK NURSES SOCIETY OF LONGVIEW TEXAS INC

Field Data
EIN 85-3887888
Case Number EO-2021083-000891
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK NURSES SOCIETY OF LONGVIEW TEXAS INC
Organization’s Mailing Address 467 ENGLISH LANE
City LONGVIEW
State TX
ZIP 75605
Accounting period End 12
Primary contact name PAULA BORENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULA BORENS
PRESIDENT
467 ENGLISH LANE
LONGVIEW TX 75605

Officer/Director/Trustee Two

HORACHEL JONES
VICE PRESIDENT
301 TERRA LANE
LONGVIEW TX 75605

Officer/Director/Trustee Three

MONICA MASON
TRESURER
267 HUNTERS ROAD
LONGVIEW TX 75605

Officer/Director/Trustee Four

STACY WILKINS
SECRETARY
504 GLENHAVEN DRIVE
LONGVIEW TX 75601

Officer/Director/Trustee Five

DAYTRAL BROWN
DIRECTOR
1514 MIAMI
LONGVIEW TX 75601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 PAULA BORENS
Signature Title PRESIDENT
Signature Date 11/16/2020

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