FORM 1023-EZ for CALL BLACKLINE

Field Data
EIN 83-4625415
Case Number EO-2020021-000586
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALL BLACKLINE
Organization’s Mailing Address 4435 ESTRELLA AVENUE APT 5
City SAN DIEGO
State CA
ZIP 92115-4657
Accounting period End 9
Primary contact name VANESSA GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERLYNE CALIXTE
CO-PRESIDENT
7 MIRROR LAKE ROAD
SPRING VALLEY NY 10977

Officer/Director/Trustee Two

EVERETT NEWTON
CO-PRESIDENT
45 WEST BROADWAY
CENTRAL NYACK NY 10994

Officer/Director/Trustee Three

CYNTHIA GILKESON
BOARD MEMBER
115 SOUTH STREET APT 2
NEWBURGH NY 12550

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention Services
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 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 JERLYNE CALIXTE
Signature Title CO-PRESIDENT
Signature Date 1/17/2020

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