FORM 1023-EZ for AFRICAN AMERICAN DIABETES ASSOCIATION

Field Data
EIN 27-5269585
Case Number EO-2020160-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AFRICAN AMERICAN DIABETES ASSOCIATION
Organization’s Mailing Address 13839 PALMER HOUSE WAY
City SILVER SPRING
State MD
ZIP 20904
Accounting period End 12
Primary contact name LEON NATHANIEL ROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEON ROCK
PRESIDENT
13839 PALMER HOUSE WAY
SILVER SPRING MD 20904

Officer/Director/Trustee Two

M OWENS
TREASURER
75 GLENCLIFF ROAD
ROSLINDALE MA 02131

Officer/Director/Trustee Three

BARBARA KING
CHAIRMAN
56 HOWLAND STREET
BROCKTON MA 02302

Officer/Director/Trustee Four

ROBIN HAYES
VICE PRESIDENT
232 PERKINS STREET
BROCKTON MD 02302

Officer/Director/Trustee Five

ANGELA ROCK
DIRECTOR
13839 PALMER HOUSE WAY
SILVER SPRING MD 20904

Organization’s website
Organization’s email LEON.ROCK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 LEON ROCK
Signature Title PRESIDENT
Signature Date 6/5/2020

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