FORM 1023-EZ for BELVEDERE REAL CARE PROVIDERS NETWORK INC

Field Data
EIN 81-0964239
Case Number EO-2016109-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELVEDERE REAL CARE PROVIDERS NETWORK INC
Organization’s Mailing Address 2526 N CHARLES STREET
City BALTIMORE
State MD
ZIP 21218
Accounting period End 12
Primary contact name CHRISTINA FLOWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER LAWSON
PRESIDENT
2526 N CHARLES STREET
BALTIMORE MD 21218

Officer/Director/Trustee Two

RON TIMPSON
VICE PRESIDENT
2526 N CHARLES STREET
BALTIMORE MD 21218

Officer/Director/Trustee Three

HENRIETTA WHITE
TREASURER
2526 N CHARLES STREET
BALTIMORE MD 21218

Officer/Director/Trustee Four

ERICKA CHARLES
SECRETARY
2526 N CHARLES STREET
BALTIMORE MD 21218

Officer/Director/Trustee Five

PASTOR SYLVIA KEYS
GENERAL BOARD MEMBER
2526 N CHARLES STREET
BALTIMORE MD 21218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
One Third Support Gifts No
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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