FORM 1023-EZ for NATIONAL ALLIANCE OF BLACK PHYSICALTHERAPISTS

Field Data
EIN 47-5284969
Case Number EO-2015302-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL ALLIANCE OF BLACK PHYSICALTHERAPISTS
Organization’s Mailing Address 4341 LINDBERGH DR SUITE 200J
City ADDISON
State TX
ZIP 75001
Accounting period End 12
Primary contact name ALBERT NABORS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALBERT NABORS
DIRECTOR
4341 LINDBERGH DR SUITE 200J
ADDISON TX 75001

Officer/Director/Trustee Two

JASON LEWIS
DIRECTOR
3225 TURTLE CREEK BLVD
DALLAS TX 75219

Officer/Director/Trustee Three

AMBER BROWN
DIRECTOR
2137 WEST CAMPBELL ROAD APT 1336
GARLAND TX 75044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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