FORM 1023-EZ for JUSTICE FOR BLACK LIVES

Field Data
EIN 85-1319070
Case Number EO-2020258-000548
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUSTICE FOR BLACK LIVES
Organization’s Mailing Address 2745 BORCHCREST DRIVE 706
City GRAND RAPIDS
State MI
ZIP 49506
Accounting period End 12
Primary contact name ALYSSA BATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA GRIFFIN
EXECUTIVE SECRETARY
11368 SUGAR LOAF AVENUE
ALLENDALE MI 49401

Officer/Director/Trustee Two

ALYSSA BATES
PRESIDENT
2745 BORCHCREST DRIVE 706
GRAND RAPIDS MI 49506

Officer/Director/Trustee Three

CHELSAE BOLTON
MARKETING DIRECTOR
3814 BURLINGAME AVE SW
WYOMING MI 49509

Officer/Director/Trustee Four

MAURICE RIDDLE
EVENT DIRECTOR
1418 MUSKEGON AVE APT 1
GRAND RAPIDS MI 49504

Officer/Director/Trustee Five

NAKYA TAYLOR
COMMUNITY OUTREACH DIRECTOR
1418 MUSKEGON AVE NW APT 1
GRAND RAPIDS MI 49509

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2020
Organization Incorporation State MI
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 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 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 JESSICA GRIFFIN
Signature Title EXECUTIVE SECRETARY
Signature Date 9/11/2020

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