FORM 1023-EZ for MISS BLACK ROCKET CITY SCHOLARSHIPFOUNDATION

Field Data
EIN 87-1838422
Case Number EO-2021244-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISS BLACK ROCKET CITY SCHOLARSHIPFOUNDATION
Organization’s Mailing Address 113 GRAND COVE PLACE
City MADISON
State AL
ZIP 35758
Accounting period End 12
Primary contact name KEISHA HAMMONDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEISHA HAMMONDS
PRESIDENT & DIRECTOR
113 GRAND COVE PLACE
MADISON AL 35758

Officer/Director/Trustee Two

CATHY DAVIS
TREASURER & DIRECTOR
201 CHRIS RYAN LANE
TONEY AL 35773

Officer/Director/Trustee Three

KIMBERLY HAMMONDS
SECRETARY
28 N MOUNTAIN DR
TRINITY AL 35673

Officer/Director/Trustee Four

ROBYN GASTON
DIRECTOR
83831 CELESTIAL CIRCLE
LIBERTY OH 45044

Organization’s website WWW.MISSBLACKROCKETCITY.COM
Organization’s email MISSBLACKROCKETCITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 KEISHA HAMMONDS
Signature Title PRESIDENT & DIRECTOR
Signature Date 8/30/2021

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