FORM 1023-EZ for AFRICAN AMERICAN HEALTH AWARENESS &WELLNESS NETWORK

Field Data
EIN 84-4496622
Case Number EO-2020069-000619
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AFRICAN AMERICAN HEALTH AWARENESS &WELLNESS NETWORK
Organization’s Mailing Address 44 EAST FRANKLIN STREET APT 2E
City HAGERSTOWN
State MD
ZIP 21740
Accounting period End 6
Primary contact name JACQUETTA CARDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUETTA CARDWELL
PRESIDENT
44 EAST FRANKLIN STREET 2E
HAGERSTOWN MD 21740

Officer/Director/Trustee Two

DARIN MENCY
VICE PRESIDENT
17651 GETTYSBURG WAY
HAGERSTOWN MD 21740

Officer/Director/Trustee Three

MILDRED WATKINS
SECRETARY
319 SOUTH CLEVELAND AVENUE
HAGERSTOWN MD 21740

Officer/Director/Trustee Four

FRANKLIN GORDON
TREASURER
10216 EASTERDAY COURT
HAGERSTOWN MD 21740

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JACQUETTA CARDWELL
Signature Title PRESIDENT
Signature Date 3/6/2020

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