FORM 1023-EZ for THE BLACK ACTION COMMITTEE INC

Field Data
EIN 86-3167931
Case Number EO-2021104-000549
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLACK ACTION COMMITTEE INC
Organization’s Mailing Address 7601 TYLERS HILL COURT
City WEST CHESTER
State OH
ZIP 45069
Accounting period End 1
Primary contact name ASIA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY YEBOAH
FOUNDER
8938 HIALEAH DRIVE
WEST CHESTER OH 45069

Officer/Director/Trustee Two

KEVIN WILLIAMS
FOUNDER
722 WAYNE STREET
CINCINNATI OH 45206

Officer/Director/Trustee Three

LOREN MCCAULEY
FOUNDER
722 WAYNE STREET
CINCINNATI OH 45206

Officer/Director/Trustee Four

DONALD THOMPSON
FOUNDER
6108 BECKETT STATION COURT
WEST CHESTER OH 45069

Officer/Director/Trustee Five

ASIA MILLER
FOUNDER
7601 TYLERS HILL COURT
WEST CHESTER OH 45069

Organization’s website
Organization’s email BLACKACTIONCOMMITTEE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 ASIA MILLER
Signature Title FOUNDER
Signature Date 4/9/2021

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