FORM 1023-EZ for BUILDING BLOCKS BEHAVIOR TREATMENT

Field Data
EIN 86-1610787
Case Number EO-2021162-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUILDING BLOCKS BEHAVIOR TREATMENT
Organization’s Mailing Address PO BOX 97422
City LAS VEGAS
State NV
ZIP 89193
Accounting period End 12
Primary contact name DEMARCO DURRELL VIRGIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEMARCO VIRGIL
DIRECTOR
PO BOX 97422
LAS VEGAS NV 89193

Officer/Director/Trustee Two

DEMADRIAN VIRGIL
OFFICER
PO BOX 97422
LAS VEGAS NV 89193

Officer/Director/Trustee Three

CRYSTAL PATTERSON
OFFICER
PO BOX 97422
LAS VEGAS NV 89193

Officer/Director/Trustee Four

TONY RUCKER
OFFICER
PO BOX 97422
LAS VEGAS NV 89193

Officer/Director/Trustee Five

MARLON JOHNSON
OFFICER
PO BOX 97422
LAS VEGAS NV 89193

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2021
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L25 - Housing Rehabilitation
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEMARCO VIRGIL
Signature Title DIRECTOR
Signature Date 6/10/2021

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