FORM 1023-EZ for AFRICAN AMERICAN HEALTH BOARD
| Field | Data |
|---|---|
| EIN | 86-1964862 |
| Case Number | EO-2021089-000169 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AFRICAN AMERICAN HEALTH BOARD |
| Organization’s Mailing Address | PO BOX 80662 |
| City | SEATTLE |
| State | WA |
| ZIP | 98108 |
| Accounting period End | 12 |
| Primary contact name | CANDACE JACKSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CANDACE JACKSON
PRESIDENT/TREASURER
949 SW 130TH ST
BURIEN WA 98146
Officer/Director/Trustee Two
JIQUANDA NELSON
VICE PRESIDENT
8456 31ST ST CT E
EDGEWOOD WA 98371
Officer/Director/Trustee Three
MARTINE PIERRE-LOUIS
SECRETARY
3711 38TH AVE S
SEATTLE WA 98144
| Organization’s website | |
|---|---|
| Organization’s email | AFRICANAMERICANHB@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/17/2021 |
| Organization Incorporation State | WA |
| 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 | Yes |
| 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 | CANDACE JACKSON |
| Signature Title | PRESIDENT/TREASURER |
| Signature Date | 2/9/2021 |
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