FORM 1023-EZ for BLACK CHURCH AND DOMESTIC VIOLENCEINSTITUTE

Field Data
EIN 58-2431213
Case Number EO-2015314-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK CHURCH AND DOMESTIC VIOLENCEINSTITUTE
Organization’s Mailing Address 3645 MARKETPLACE BLVD STE 130-375
City EAST POINT
State GA
ZIP 30344-5747
Accounting period End 6
Primary contact name REV AUBRA LOVE-- REGISTERED AGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIA HODNETT- MPH
PRESIDENT
3645 MARKETPLACE BLVD STE 130-375
EAST POINT GA 30344-5747

Officer/Director/Trustee Two

REV MELODY JOHNSON
SECRETARY/TREASURER
3645 MARKETPLACE BLVD STE 130-375
EAST POINT GA 30344-5747

Officer/Director/Trustee Three

DENISE MCINNIS
OFFICER
3645 MARKETPLACE BLVD STE 130-375
EAST POINT GA 30344-5747

Officer/Director/Trustee Four

CYNTHIA HARRIS
OFFICER
3645 MARKETPLACE BLVD STE 130-375
EAST POINT GA 30344-5747

Officer/Director/Trustee Five

REV AUBRA LOVE
OFFICER
3645 MARKETPLACE BLVD STE 130-375
EAST POINT GA 30344-5747

Organization’s website N/A
Organization’s email BCDVORG@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/1999
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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