FORM 1023-EZ for ENBLOC10FOUNDATION

Field Data
EIN 83-2945758
Case Number EO-2019095-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ENBLOC10FOUNDATION
Organization’s Mailing Address 701 15 TH AVE
City MIDDLETOWN
State OH
ZIP 45044
Accounting period End 9
Primary contact name GERALD MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD MACK
PRESIDENT
8438 MEADOWLARK CT
WEST CHESTER OH 45069

Officer/Director/Trustee Two

RICARDO SMITH
VICE PRESIDENT
5424 HAMILTON AVE SUITE 19
CINCINNATI OH 45224

Officer/Director/Trustee Three

STEPHANIE ORR
DIRECTOR
2665 FAVOR RD SW SUITE 2A4
MARIETTA GA 30060

Officer/Director/Trustee Four

TERI MACK
DIRECTOR
1836 SPRING GROVE LN
MIDDLETOWN OH 45044

Officer/Director/Trustee Five

KENYA FLOWERS
SECRETARY
8042 HAMILTON AVE
CINCINNATI OH 45231

Organization’s website ENBLOC10FOUNDATION.ORG
Organization’s email ENBLOC10@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 GERALD MACK
Signature Title PRESIDENT
Signature Date 4/3/19

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