FORM 1023-EZ for BLACK NURSES ROCK ORLANDO

Field Data
EIN 81-1905620
Case Number EO-2020210-000840
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK NURSES ROCK ORLANDO
Organization’s Mailing Address 4630 S KIRKMAN RD 165
City ORLANDO
State FL
ZIP 32811
Accounting period End 12
Primary contact name MELODY TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELODY TAYLOR
PRESIDENT
5807 FOX HUNT TRAIL
ORLANDO FL 32808

Officer/Director/Trustee Two

NOVELLO PENICK
VICE PRESIDENT
6226 TALARIA DR
WINDERMERE FL 34746

Officer/Director/Trustee Three

ANGELA BROOKS
TREASURER
5021 SCARSDALE MANOR LANE
ORLANDO FL 32818

Officer/Director/Trustee Four

LESLIE MCRAE MATTHEWS
SECRETARY
4630 S KIRKMAN RD 165
ORLANDO FL 32811

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE FL 99999

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 MELODY TAYLOR
Signature Title PRESIDENT
Signature Date 7/26/2020

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