FORM 1023-EZ for JUST BLACK INCORPORATED

Field Data
EIN 86-2399327
Case Number EO-2021099-001760
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUST BLACK INCORPORATED
Organization’s Mailing Address 6580 OAK MILL CT
City MORROW
State GA
ZIP 30260
Accounting period End 12
Primary contact name BRANDY ARTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDY ARTIS
CHAIRMAN
849 CARTWRIGHT PASS
FAYETTEVILLE GA 30214

Officer/Director/Trustee Two

LATOIA HEAD
PRESIDENT & DIRECTOR
6580 OAK MILL CT
MORROW GA 30260

Officer/Director/Trustee Three

JASMINE LOVELESS
SECRETARY & DIRECTOR
3472 WILLOW MEADOW LANE
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

LINDA GREEN
TREASURER & DIRECTOR
874 CORNITH DRIVE
JONESBORO GA 30238

Officer/Director/Trustee Five

JACKIE HUBBARD
VICE PRESIDENT & DIRECTOR
6580 OAK MILL CT
MORROW GA 30260

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 BRANDY ARTIS
Signature Title CHAIRMAN
Signature Date 3/22/2021

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