FORM 1023-EZ for BLACK CLERGY CAUCUS OF THE LUTHERANCHURCH

Field Data
EIN 47-5233614
Case Number EO-2020209-001007
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK CLERGY CAUCUS OF THE LUTHERANCHURCH
Organization’s Mailing Address PO BOX 58463
City NEW ORLEANS
State LA
ZIP 70158-8463
Accounting period End 12
Primary contact name AUBREY J WATSON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REV WARREN LATTIMORE
PRESIDENT
1625 ANNETTE ST
NEW ORLEANS LA 70116

Officer/Director/Trustee Two

REV PAUL ANDERSON
VICE PRESIDENT
6416 S WASHTENAW AVE
CHICAGO IL 60629

Officer/Director/Trustee Three

REV MEREDITH JACKSON
SECRETARY
1883 T L THREADGILL RD
CAMDEN AL 36726

Officer/Director/Trustee Four

REV AUBREY WATSON
ASSIST SECRETARY
7030 COVENTRY ST
NEW ORLEANS LA 70126-1714

Officer/Director/Trustee Five

REV JAMES MCDANIELS
TREASURER
P O BOX 238
HIGH POINT NC 27261-0238

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REV AUBREY WATSON
Signature Title ASSIST SECRETARY
Signature Date 7/21/2020
EIN 47-5233614
Case Number EO-2016187-000564
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK CLERGY CAUCUS OF THE LUTHERANCHURCH INCORPORATED
Organization’s Mailing Address 4127 FRANKLIN AVE
City NEW ORLEANS
State LA
ZIP 70122
Accounting period End 12
Primary contact name JEROME N TERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEROME TERRY
DIRECTOR-TREASURER
153 TAMMY DR
LA PLACE LA 70068-6474

Officer/Director/Trustee Two

ROOSEVELT GRAY
DIRECTOR
25205 WAYCROSS
SOUTHFIELD MI 48033

Officer/Director/Trustee Three

BYRON WILLIAMS
DIRECTOR
5725 SOUTH MARSALIS AVE
DALLAS TX 75241

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 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
Signature Title
Signature Date

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