FORM 1023-EZ for MARY MCLEOD BETHUNE LOS ANGELES SECTION - NCNW

Field Data
EIN 95-4604355
Case Number EO-2017209-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARY MCLEOD BETHUNE LOS ANGELES SECTION - NCNW
Organization’s Mailing Address 4058 KENWAY AVE
City LOS ANGELES
State CA
ZIP 90008
Accounting period End 12
Primary contact name DAVID L MURPHY ENROLLED AGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE HENRY
PRESIDENT
4058 KENWAY AVE
LOS ANGELES CA 90008

Officer/Director/Trustee Two

PHYLISS JOHNSON
1ST VICE PRESIDENT
1633 DIMONDALE DR
CARSON CA 90741

Officer/Director/Trustee Three

LOTTIE WALKINS GEORGE
2ND VICE PRESIDENT
4231 ARLINGTON AVE
LOS ANGELES CA 90008

Officer/Director/Trustee Four

CARLIN SMITH
TREASURER
590 WEST 7TH ST
SAN PEDRO CA 90731

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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
Signature Title
Signature Date

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