FORM 1023-EZ for GRAND RAPIDS CHAPTER NATIONAL BLACKNURSES ASSOCIATION

Field Data
EIN 38-3493384
Case Number EO-2020128-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAND RAPIDS CHAPTER NATIONAL BLACKNURSES ASSOCIATION
Organization’s Mailing Address 2419 BROOK DR SE
City KENTWOOD
State MI
ZIP 49512
Accounting period End 12
Primary contact name AUNDREA ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUNDREA ROBINSON
PRESIDENT
2419 BROOK DR SE
KENTWOOD MI 49512

Officer/Director/Trustee Two

NINA WESTERN
DIRECTOR
2419 BROOK DR SE
KENTWOOD MI 49512

Officer/Director/Trustee Three

DOMINICKA PROCTOR
DIRECTOR
LAURA
MOODY MI 49512

Officer/Director/Trustee Four

EARNESTINE TOLBERT
DIRECTOR
2419 BROOK DR SE
KENTWOOD MI 49512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/1999
Organization Incorporation State MI
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 Yes
Correctness Declaration Yes
Signature Name AUNDREA ROBINSON
Signature Title PRESIDENT
Signature Date 5/5/2020

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