FORM 1023-EZ for BLACKSTRONG NATION INC

Field Data
EIN 85-1292197
Case Number EO-2020160-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACKSTRONG NATION INC
Organization’s Mailing Address 9850 MOSS ROSE WAY
City ORLANDO
State FL
ZIP 32832
Accounting period End 12
Primary contact name RACHEL KILBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL KILBERT
PRESIDENT
9850 MOSS ROSE WAY
ORLANDO FL 32832-5808

Officer/Director/Trustee Two

CHRISTOPHER EADDY
VP
5840 RED BUG LAKE RD SUITE 5
WINTER SPRINGS FL 32708

Officer/Director/Trustee Three

LILY KILBERT
CEO
716 SAMANTHA DRIVE
PALM HARBOR FL 34683

Officer/Director/Trustee Four

AMAYA TOWNS
SECRETARY
9850 MOSS ROSE WAY
ORLANDO FL 32832-5808

Officer/Director/Trustee Five

KILBERT LAW PA
TREASURER
9850 MOSS ROSE WAY
ORLANDO FL 32832-5808

Organization’s website
Organization’s email INFO@BLACKSTRONGNATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R99 - Civil Rights, Social Action, Advocacy 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 Yes
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RACHEL KILBERT
Signature Title PRESIDENT
Signature Date 6/4/2020

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