FORM 1023-EZ for BLACK WOMEN 4 HEALTHY LIVING INC

Field Data
EIN 85-3493307
Case Number EO-2020304-000038
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK WOMEN 4 HEALTHY LIVING INC
Organization’s Mailing Address 1424 SAMPSON ST
City DES MOINES
State IA
ZIP 50316
Accounting period End 12
Primary contact name BRANDI L MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDI MILLER
PRESIDENT
1424 SAMPSON ST
DES MOINES IA 50316

Officer/Director/Trustee Two

JAMIE SINNAH-YOVONIE
DIRECTOR
1124 14TH PL
DES MOINES IA 50314

Officer/Director/Trustee Three

RHASHIDA RUSSELL
SECRETARY
1283 DE WOLF ST
DES MOINES IA 50316

Officer/Director/Trustee Four

TAMARA EMPTY
DIRECTOR
6630 CODY DR UNIT 9204
WEST DES MOINES IA 50266

Officer/Director/Trustee Five

LACINDA MCCLENDON
DIRECTOR
2101 MEADOW CT NO 1404
DES MOINES IA 50320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S81 - Women's Service Clubs
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 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 No
Correctness Declaration Yes
Signature Name BRANDI MILLER
Signature Title PRESIDENT
Signature Date 10/28/2020

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