FORM 1023-EZ for DELAWARE VALLEY ASSOCIATION OF BLACK PSYCHOLOGISTS

Field Data
EIN 23-2019735
Case Number EO-2020210-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DELAWARE VALLEY ASSOCIATION OF BLACK PSYCHOLOGISTS
Organization’s Mailing Address PO BOX 622
City WESTTOWN
State PA
ZIP 19395-0622
Accounting period End 12
Primary contact name DR AYO MARIA GOODEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR AYO GOODEN
PRESIDENT
1210 CHEYNEY ROAD
WEST CHESTER PA 19382-8502

Officer/Director/Trustee Two

DR TASHEKAH SMITH
VP PRESIDENT ELECT
6528 GESNER STREET
PHILADELPHIA PA 19142

Officer/Director/Trustee Three

DR JANICE HOFFMANWILLIS
SECRETARY IMMEDIATE PAST PRESIDENT
1437 FRESNO ROAD
WILMINGTON DE 19803

Officer/Director/Trustee Four

DR FARUQ IMAN
TREASURER
1301 NORTH 54TH STREET
PHILADELPHIA PA 19131

Organization’s website WWW.DVABPSI.ORG
Organization’s email DVABPSIORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F03 - Professional Societies, Associations
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 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 DR AYO GOODEN
Signature Title PRESIDENT
Signature Date 7/23/2020

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