FORM 1023-EZ for BLACK GIRL RISING INC

Field Data
EIN 82-4848043
Case Number EO-2018205-000110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK GIRL RISING INC
Organization’s Mailing Address 3466 BOLTON AVENUE
City COLUMBUS
State OH
ZIP 43227-1191
Accounting period End 12
Primary contact name FRANCES C FRAZIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCES C FRAZIER
PRESIDENT
3466 BOLTON AVENUE
COLUMBUS OH 43227-1191

Officer/Director/Trustee Two

CHARLA SHEPPARD
VICE PRESIDENT
1321 E 21ST AVE
COLUMBUS OH 43211-2515

Officer/Director/Trustee Three

ROLLIN SEWARD
TREASURER
400 MCKINLEY AVE NW APT A
CANTON OH 44702-1838

Officer/Director/Trustee Four

LARA BELLISTON
SECRETARY
383 MOGUL DR
GALLOWAY OH 43119-2203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
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 FRANCES C FRAZIER
Signature Title PRESIDENT
Signature Date 7/22/18

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