FORM 1023-EZ for MINORITY WOMEN IN SPORTS MEDICINE INC

Field Data
EIN 84-4899834
Case Number EO-2020184-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINORITY WOMEN IN SPORTS MEDICINE INC
Organization’s Mailing Address 2619 NEMO COURT
City BOWIE
State MD
ZIP 20716
Accounting period End 12
Primary contact name ANDREA DURHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA DURHAM
PRESIDENT/ BOARD OF DIRECTORS
2619 NEMO CT
BOWIE MD 20716

Officer/Director/Trustee Two

DEBRA DRAYTON
TREASURER/ BOARD OF DIRECTORS
2001 SHADOWROCK LN
BOWIE MD 20721

Officer/Director/Trustee Three

LAUREN MCMILLON
VICE PRESIDENT/BOARD OF DIRECTORS
3601 GOLDEN HILL DRIVE
MITCHELLVILLE MD 20721

Officer/Director/Trustee Four

LAVITA TUFF
BOARD OF DIRECTORS
70 PERIMETER CENTER EAST APT 2206
ATLANTA GA 30346

Officer/Director/Trustee Five

BRITTNEY WAGNER
SECRETARY/BOARD OF DIRECTORS
250 AMERICAN WAY APT 518
OXON HILL MD 20745

Organization’s website MWINSPORTSMED.ORG
Organization’s email MAIL@MWINSPORTSMED.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 ANDREA DURHAM
Signature Title PRESIDENT/ BOARD OF DIRECTORS
Signature Date 6/30/2020

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