FORM 1023-EZ for BLACK HEALTH NEW MEXICO

Field Data
EIN 82-4558762
Case Number EO-2018061-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK HEALTH NEW MEXICO
Organization’s Mailing Address 442 GREG AVENUE BUILDING C-204
City SANTA FE
State NM
ZIP 87501
Accounting period End 10
Primary contact name SUNSHINE MUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUNSHINE MUSE
DIRECTOR AND BOARD PRESIDENT
442 GREG AVENUE C-204
SANTA FE NM 87501

Officer/Director/Trustee Two

MARCIA SMITH
BOARD CHAIR
324 CONVENT AVENUE
NEW YORK NY 10031

Officer/Director/Trustee Three

TAMIKO OVERTON-PARKS
BOARD TREASURER
56 SHERIDAN PLACE NE
WASHINGTON DC 20011

Officer/Director/Trustee Four

WANDA PADILLA
BOARD SECRETARY
11 CUERNO DE VACA DRIVE
SANTA FE NM 87507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/18
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 Yes
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 SUNSHINE MUSE
Signature Title DIRECTOR AND BOARD PRESIDENT
Signature Date 2/28/18

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