FORM 1023-EZ for HBCU DATA SCIENCE CONSORTIUM

Field Data
EIN 86-3029357
Case Number EO-2021179-000528
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HBCU DATA SCIENCE CONSORTIUM
Organization’s Mailing Address 135 RIVERSIDE PKWY SUITE 2P
City AUSTELL
State GA
ZIP 30168
Accounting period End 12
Primary contact name ALFRED R WATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON BLACK
DIRECTOR
500 GAMBLE ST SUITE 413 WEST WING
TALLAHASSEE FL 32307

Officer/Director/Trustee Two

THORNA HUMPHRIES
DIRECTOR
700 PARK AVENUE
NORFOLK VA 23504

Officer/Director/Trustee Three

VELMA LATSON
DIRECTOR
14000 JERICHO PARK ROAD SUITE 308C
BOWIE MD 20715-9465

Officer/Director/Trustee Four

ED PEARSON
DIRECTOR
4900 MERIDIAN ST ROOM 209
NORMAL AL 35762

Officer/Director/Trustee Five

ALFRED WATKINS
DIRECTOR
PO BOX 44221
ATLANTA GA 30336

Organization’s website WWW.HBCU-DSC.ORG
Organization’s email INFO.HBCUDSC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 ALFRED WATKINS
Signature Title DIRECTOR
Signature Date 6/25/2021

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