FORM 1023-EZ for A BLACK CHILD CAN

Field Data
EIN 86-1988379
Case Number EO-2021099-001029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A BLACK CHILD CAN
Organization’s Mailing Address 1111 GLENDALOUGH DRIVE
City PFLUGERVILLE
State TX
ZIP 78660
Accounting period End 12
Primary contact name AUTUMN ARNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUTUMN ARNETT
PRESIDENT
1111 GLENDALOUGH DRIVE
PFLUGERVILLE TX 78660

Officer/Director/Trustee Two

JOHNATHAN GILLIARD
TREASURER
900 E PECAN ST STE 300 BOX 217
PFLUGERVILLE TX 78660

Officer/Director/Trustee Three

ADLINE BREWER
SECRETARY
1221 LAURELLEAF DR
PFLUGERVILLE TX 78660

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 AUTUMN ARNETT
Signature Title PRESIDENT
Signature Date 3/18/2021

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