FORM 1023-EZ for THE BLACKCAPSULEZ ANTHOLOGY CORP

Field Data
EIN 86-1967882
Case Number EO-2021089-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLACKCAPSULEZ ANTHOLOGY CORP
Organization’s Mailing Address 13832 S LASALLE ST
City RIVERDALE
State IL
ZIP 60827
Accounting period End 12
Primary contact name LANIJAH FLAGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOCELYN BILLHEIMER
MS
19422 CYPRESS DR
COUNTRY CLUB HILLS IL 60478

Officer/Director/Trustee Two

JHAYLEN CHERRY
MR
17508 DANIELLE CT
HAZEL CREST IL 60429

Officer/Director/Trustee Three

LANCE DAVIS
BISHOP
2037 E 171ST CT
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Four

LANIJAH FLAGG
MS
13832 S LASALLE ST
RIVERDALE IL 60827

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A33 - Printing, Publishing
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 LANIJAH FLAGG
Signature Title MS
Signature Date 2/9/2021

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