FORM 1023-EZ for BLOCK GIVES BACK CORP

Field Data
EIN 83-3341518
Case Number EO-2019303-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOCK GIVES BACK CORP
Organization’s Mailing Address 4233 GLENVIEW STREET
City PHILADELPHIA
State PA
ZIP 19135
Accounting period End 12
Primary contact name THOMAS W ROUSH III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS W ROUSH III
PRESIDENT/CO-FOUNDER
4233 GLENVIEW STREET
PHILADELPHIA PA 19135

Officer/Director/Trustee Two

HAKEEN RUIZ
VICE PRESIDENT/CO-FOUNDER
4010 ALDINE STREET
PHILADELPHIA PA 19136

Officer/Director/Trustee Three

FELIX ALVAREZ
FUNDRAISING CHAIR
1114 HARRISON STREET
PHILADELPHIA PA 19124

Officer/Director/Trustee Four

TYREEK WANNAMAKER
FIELD ORGANIZER
2663 BRADDOCK STREET
PHILADELPHIA PA 19125

Organization’s website THEBLOCKGIVESBACK.ORG
Organization’s email THEBLOCKGIVESBACK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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 Yes
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 THOMAS W ROUSH III
Signature Title PRESIDENT/CO-FOUNDER
Signature Date 10/28/19

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