FORM 1023-EZ for BLACK NURSES OF HILLSBOROUGH COUNTYHISTORICAL ORGANIZATION

Field Data
EIN 46-4440426
Case Number EO-2014272-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK NURSES OF HILLSBOROUGH COUNTYHISTORICAL ORGANIZATION
Organization’s Mailing Address PO BOX 15101
City TAMPA
State FL
ZIP 33684
Accounting period End 12
Primary contact name PAULINE L COLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAULINE COLE
PRESIDENT
4100 E FLETCHER AVE
TAMPA FL 33613

Officer/Director/Trustee Two

COSETTE WHITMORE
SECRETARY
1005 SILK STREET
VALRICO FL 33594

Officer/Director/Trustee Three

RUBY WILLIAMS
TREASURER
3704 E PARIS STREET
TAMPA FL 33610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 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
Signature Title
Signature Date

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