FORM 1023-EZ for THE CENTER FOR BLACK EXCELLENCE

Field Data
EIN 81-5404686
Case Number EO-2017146-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CENTER FOR BLACK EXCELLENCE
Organization’s Mailing Address 584 CASTRO STREET SUITE 404
City SAN FRANCISCO
State CA
ZIP 94114-2588
Accounting period End 9
Primary contact name JASON MILES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON MILES
CHAIRMAN, CEO
584 CASTRO STREET SUITE 404
SAN FRANCISCO CA 94114-2588

Officer/Director/Trustee Two

MARY MAINA
TREASURER, CFO
584 CASTRO STREET SUITE 404
SAN FRANCISCO CA 94114-2588

Officer/Director/Trustee Three

NORMA MORENO
SECRETARY, COO
584 CASTRO STREET SUITE 404
SAN FRANCISCO CA 94114-2588

Organization’s website WWW.CENTER-EXCELLENCE.ORG
Organization’s email CONTACT@CENTER-EXCELLENCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 No
Disaster relief assistance Yes
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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