| Field | Data |
|---|---|
| EIN | 82-4417876 |
| Case Number | EO-2019060-000321 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKE COUNTY INDIANA BLACK NURSES ASSOCIATION |
| Organization’s Mailing Address | 2445 WEST 64TH PLACE |
| City | MERRILLVILLE |
| State | IN |
| ZIP | 46410 |
| Accounting period End | 12 |
| Primary contact name | MICHELLE MOORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MICHELLE MOORE
PRESIDENT
2445 WEST 64TH PLACE
MERRILLVILLE IN 46410
SUNYA WATSON
VICE PRESIDENT
5659 FEATHERCREEK ROAD
MATTESON IL 60443
ACQUANETTA MCKINNEY
FIRST VICE PRESIDENT
1260 WEST 57TH AVENUE
MERRILLVILLE IN 46410
SONYA MITCHELL
SECRETARY
5510 FILLMORE STREET
MERRILLVILLE IN 46410
SELMA BANKS
TREASURER
4329 RYAN COURT
GARY IN 46403
| Organization’s website | |
|---|---|
| Organization’s email | MRENA409@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/28/18 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E03 - Professional Societies, Associations |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MICHELLE MOORE |
| Signature Title | PRESIDENT |
| Signature Date | 2/27/19 |
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