FORM 1023-EZ for BLONKA MOVEMENT

Field Data
EIN 82-2157426
Case Number EO-2020143-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLONKA MOVEMENT
Organization’s Mailing Address PO BOX 4105
City SLIDELL
State LA
ZIP 70459
Accounting period End 7
Primary contact name AIREIAL MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AIREIAL MACK
CEO
PO BOX 4105
SLIDELL LA 70459

Officer/Director/Trustee Two

TENNELL BELL
SECRETARY
PO BOX 4105
SLIDELL LA 70459

Officer/Director/Trustee Three

DEVIN JOHNSON
VICE PRESIDENT
PO BOX 4105
SLIDELL LA 70459

Officer/Director/Trustee Four

TRENA MACK
EXECUTIVE DIRECTOR AND OFFICER
PO BOX 4105
SLIDELL LA 70459

Organization’s website WWW.BLONKAMOVEMENT.COM
Organization’s email INFO@BLONKAMOVEMENT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O31 - Big Brothers, Big Sisters
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name AIREIAL MACK
Signature Title CEO
Signature Date 5/20/2020
EIN 82-2157426
Case Number EO-2017228-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLONKA MOVEMENT
Organization’s Mailing Address PO BOX 4105
City SLIDELL
State LA
ZIP 70459
Accounting period End 7
Primary contact name AIREIAL MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AIREIAL MACK
CEO, DIRECTOR
PO BOX 4105
SLIDELL LA 70459

Officer/Director/Trustee Two

TRENA MACK
TRUSTEE
PO BOX 4105
SLIDELL LA 70459

Organization’s website WWW.BLONKAMOVEMENT.COM
Organization’s email CEO@BLONKAMOVEMENT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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
Signature Title
Signature Date

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