FORM 1023-EZ for BLACK MOMS BLOC INCORPORATED

Field Data
EIN 85-2727912
Case Number EO-2020260-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK MOMS BLOC INCORPORATED
Organization’s Mailing Address 7320 EAST FLETCHER AVENUE
City TAMPA
State FL
ZIP 33637
Accounting period End 12
Primary contact name SHALONDA MONIQUE ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHALONDA ALLEN
PRESIDENT
7320 EAST FLETCHER AVENUE
TAMPA FL 33637

Officer/Director/Trustee Two

SHALONDA ALLEN
VICE PRESIDENT
7320 EAST FLETCHER AVENUE
TAMPA FL 33637

Officer/Director/Trustee Three

SHALONDA ALLEN
SECRETARY
7320 EAST FLETCHER AVENUE
TAMPA FL 33637

Officer/Director/Trustee Four

SHALONDA ALLEN
TREASURER
7320 EAST FLETCHER AVENUE
TAMPA FL 33637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SHALONDA ALLEN
Signature Title TREASURER
Signature Date 9/13/2020

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