FORM 1023-EZ for BLACKLIGHT COMMUNITY

Field Data
EIN 85-1530740
Case Number EO-2020226-000308
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACKLIGHT COMMUNITY
Organization’s Mailing Address 100 W 143RD ST APT 12
City NEW YORK
State NY
ZIP 10030
Accounting period End 12
Primary contact name INDIA DUFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

INDIA DUFF
FOUNDER
100 W 143RD ST APT 12
NEW YORK NY 10030

Officer/Director/Trustee Two

KAYLIN KELLIN
CHAIRMAN OF THE BOARD
100 W 143RD ST APT 12
NEW YORK NY 10030

Officer/Director/Trustee Three

JORDAN DAVIS
BOARD MEMBER AND OFFICER
238 BOERUM ST APT 2
BROOKLYN NY 11206

Officer/Director/Trustee Four

LENA OKAIN
BOARD MEMBER
3238 W LAKEWOOD DR
MEMPHIS TN 38128

Officer/Director/Trustee Five

KARL HAWKINS
CO-FOUNDER
100 W 143RD ST APT 12
NEW YORK NY 10030

Organization’s website BLACKLIGHTCOMMUNITY.COM
Organization’s email BLACKLIGHTCOMMUNITY1@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 INDIA DUFF
Signature Title FOUNDER
Signature Date 8/11/2020

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