FORM 1023-EZ for BLACK NURSES ROCK TYLER TEXAS

Field Data
EIN 81-1819156
Case Number EO-2021020-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK NURSES ROCK TYLER TEXAS
Organization’s Mailing Address POST OFFICE BOX 4923
City TYLER
State TX
ZIP 75712
Accounting period End 4
Primary contact name LISA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA WILLIAMS
PRESIDENT
1820 NORTH BORDER
TYLER TX 75702

Officer/Director/Trustee Two

WILLIE JEAN MIMS
SECRETARY
958 CR 246 NORTH
TYLER TX 75705

Officer/Director/Trustee Three

PATRICIA CROWDER
VICE PRESIDENT
1517 PALMER RD
PALESTINE TX 75801

Officer/Director/Trustee Four

LA TOSHA WILLIAMS
TREASURER
7597 CR485
TYLER TX 75702

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE TX 00000

Organization’s website www.BlackNURSESTYLERTEXAS.COM
Organization’s email LISAKAYWILLIAMSBNR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2016
Organization Incorporation State TX
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA WILLIAMS
Signature Title PRESIDENT
Signature Date 11/25/2020

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