FORM 1023-EZ for BEVERLY L SMITH EMPOWERMENT INITIATIVE INC
| Field | Data |
|---|---|
| EIN | 81-2707049 |
| Case Number | EO-2019238-000532 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BEVERLY L SMITH EMPOWERMENT INITIATIVE INC |
| Organization’s Mailing Address | 2701 VAN BUREN STREET |
| City | WEEDSPORT |
| State | NY |
| ZIP | 13166 |
| Accounting period End | 12 |
| Primary contact name | MELODY JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
VERONICA JARRETT
TREASURER
29453 POMELLO TRACE
WESLEY CHAPEL FL 33545
Officer/Director/Trustee Two
RUSSELL RILLIE
CHAIR
259 CHURCH STREET APT 2
POUGHKEEPSIE NY 12601
Officer/Director/Trustee Three
LOTTIE HARRISON
BOARD MEMBER
75 TOWERS STREET
JERSEY CITY NJ 7305
Officer/Director/Trustee Four
CATHRYN SMITH
BOARD MEMBER
860 RIVERSIDE DRIVE APT 6F
NEW YORK NY 10032
Officer/Director/Trustee Five
MELODY JOHNSON
CHIEF EXECUTIVE OFFICER
2701 VAN BUREN STREET
WEEDSPORT NY 13166
| Organization’s website | WWW.BLSEMPOWER.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/23/16 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MELODY JOHNSON |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 8/23/19 |
| EIN | 81-2707049 |
| Case Number | EO-2017144-000371 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BEVERLY L SMITH EMPOWERMENT INITIATIVE INC |
| Organization’s Mailing Address | 2701 VANBUREN STREET |
| City | WEEDSPORT |
| State | NY |
| ZIP | 13166 |
| Accounting period End | 12 |
| Primary contact name | COURTNEY BENNETT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MELODY JOHNSON
PRESIDENT
2701 VANBUREN STREET
WEEDSPORT NY 13166
Officer/Director/Trustee Two
RUSSELL RILLIE
DIRECTOR
259 CHURCH STREET APT 2
POUGHKEEPSIE NY 12601
Officer/Director/Trustee Three
LOTTIE HARRISON
DIRECTOR
75 TOWERS STREET
JERSEY CITY NJ 07305
Officer/Director/Trustee Four
ABRAHAM GATLING III
DIRECTOR
96 MARTENSE STREET 1L
BROOKLYN NY 11226
Officer/Director/Trustee Five
CATHRYN SMITH
DIRECTOR
860 RIVERSIDE DRIVE
NEW YORK NY 10032
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/13/2016 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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