| Field | Data |
|---|---|
| EIN | 30-0330877 |
| Case Number | EO-2016356-000184 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NATIONAL ASSOCIATION OF STATE OFFICES OF MINORITY HEALTH |
| Organization’s Mailing Address | PO BOX 32092 |
| City | COLUMBUS |
| State | OH |
| ZIP | 43232-0092 |
| Accounting period End | 12 |
| Primary contact name | LISA STAFFORD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANTOINETTE HOLT
BOARD PRESIDENT
2 N MERIDIAN STREET 3A
INDIANAPOLIS IN 46204
MICHELLE SMITH
BOARD TREASURER
4815 WEST MARKHAM ST 39
LITTLE ROCK AR 72205
NANCY JEWELL
BOARD SECRETARY
3737 N MERIDIAN ST 3 FLR
INDIANAPOLIS IN 46208
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/16/2005 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: No 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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