FORM 1023-EZ for AMERICAN ASSOCIATION OF BLACK PHYSICIAN SCIENTISTS
| Field | Data |
|---|---|
| EIN | 85-3837818 |
| Case Number | EO-2021032-000095 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AMERICAN ASSOCIATION OF BLACK PHYSICIAN SCIENTISTS |
| Organization’s Mailing Address | 5300 DARLINGTON RD UNIT D |
| City | COLUMBUS |
| State | OH |
| ZIP | 43220 |
| Accounting period End | 12 |
| Primary contact name | GIANCARLO VALIENTE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GIANCARLO VALIENTE
PRESIDENT
5300 DARLINGTON RD UNIT D
COLUMBUS OH 43220
Officer/Director/Trustee Two
TIFFANY KING
VICE PRESIDENT, CHIEF FINANCIAL OFF
370 W 9TH AVE
COLUMBUS OH 43210
Officer/Director/Trustee Three
ACHOMBOM TUNYI
SECRETARY OF THE BOARD
370 W 9TH AVE
COLUMBUS OH 43210
Officer/Director/Trustee Four
SHANE SCOTT
CHIEF MARKETING OFFICER
370 W 9TH AVE
COLUMBUS OH 43210
Officer/Director/Trustee Five
AARON THOMAS
DIRECTOR OF ADMINISTRATION
370 W 9TH AVE
COLUMBUS OH 43210
| Organization’s website | WWW.AABLACKPS.ORG |
|---|---|
| Organization’s email | AABLACKPS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/20/2020 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | R03 - 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 | Yes |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | GIANCARLO VALIENTE |
| Signature Title | PRESIDENT |
| Signature Date | 12/8/2020 |
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