FORM 1023-EZ for JACKSONVILLE BLACK PRIDE INC

Field Data
EIN 80-0838651
Case Number EO-2019140-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSONVILLE BLACK PRIDE INC
Organization’s Mailing Address P O BOX 2981
City JACKSONVILLE
State FL
ZIP 32203-2981
Accounting period End 9
Primary contact name TIMOTHY JEFFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN JOSEPH
PRESIDENT
8119 CUMBERLAND GAP TRL N
JACKSONVILE FL 32244

Officer/Director/Trustee Two

TIMOTHY JEFFERSON
SECRETARY/TREASURER
7595 BAYMEADOWS CIRCLE WEST 2704
JACKSONVILLE FL 32256

Officer/Director/Trustee Three

WILLIE KELLY
AT-LARGE
76 WEST 32ND STREET
JACKSONVILLE FL 32206

Officer/Director/Trustee Four

TAYDEN HAILE
AT-LARGE
3945 DEERTREE HILLS DRIVE
ORANGE PARK FL 32065

Organization’s website JAXFLBLACKPRIDE.WORDPRESS.COM
Organization’s email BLACKPRIDEJAXFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/12
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R26 - Lesbian, Gay Rights
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 JONATHAN JOSEPH
Signature Title PRESIDENT
Signature Date 5/16/19

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