FORM 1023-EZ for BLACK TATTOO ART AND MUSIC EXPERIENCE

Field Data
EIN 83-3402707
Case Number EO-2019038-000749
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK TATTOO ART AND MUSIC EXPERIENCE
Organization’s Mailing Address 19845 WEST MCNICHOLS
City DETROIT
State MI
ZIP 48219
Accounting period End 12
Primary contact name MICHAEL BURNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON PHILLIPS
EXECUTIVE DIRECTOR
8314 MEYERS
DETROIT MI 48228

Officer/Director/Trustee Two

MICHAEL BURNETT
SECRETARY
2323 LAKESHORE BLVD APT 615
YPSILANTI MI 48198

Officer/Director/Trustee Three

TAMIKA BURNETT
COMMUNITY DIRECTOR
2323 LAKESHORE BLVD APT 615
YPSILANTI MI 48198

Officer/Director/Trustee Four

TERRY MARTIN
CO DIRECTOR
1531 MARIE ST
TRENTON MI 48183

Officer/Director/Trustee Five

DERRICK TOLIVER
PROJECT DIRECTOR
484 ALTER RD
DETROIT MI 48215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A27 - Community Celebrations
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 MICHAEL BURNETT
Signature Title SECRETARY
Signature Date 2/1/19

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