FORM 1023-EZ for ALPHA PHI OMEGA NATIONAL SERVICE FRATERNITY PSI NU CHAPTER

Field Data
EIN 23-7326268
Case Number EO-2015320-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALPHA PHI OMEGA NATIONAL SERVICE FRATERNITY PSI NU CHAPTER
Organization’s Mailing Address 1600 HARDEN STREET
City COLUMBIA
State SC
ZIP 29204
Accounting period End 12
Primary contact name ANTOINETTE ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTOINETTE ANDERSON
PRESIDENT
5758 OLD LEESBURG RD
HOPKINS SC 29061

Officer/Director/Trustee Two

CHARLES BROOKS
ADVISOR
1926 OAK STREET
COLUMBIA SC 29204

Officer/Director/Trustee Three

SHAMONDRA BANKS
ADMINISTRATIVE VICE PRESIDENT
204 CHAMPIONS PINES LANE
AUGUSTA GA 30909

Officer/Director/Trustee Four

JOUSHA WASHINGTON
MEMERSHIP VICE PRESIDENT
3991 GARY DR
NORTH CHARLESTON SC 29405

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/1973
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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