FORM 1023-EZ for THE BLACK DOULA PROJECT INC

Field Data
EIN 85-2089221
Case Number EO-2020212-000611
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLACK DOULA PROJECT INC
Organization’s Mailing Address 29 GOODPORT COURT
City GAITHERSBURG
State MD
ZIP 20878
Accounting period End 12
Primary contact name ERRYN TANNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERRYN TANNER
PRESIDENT
29 GOODPORT COURT
GAITHERSBURG MD 20878

Officer/Director/Trustee Two

STEPHANIE KIMOU-HARDY
SECRETARY
3220 ABEL AVE
BALTIMORE MD 21218

Officer/Director/Trustee Three

JORDYN N BROCK
TREASURER
18922 GROTTO LANE
GERMANTOWN MD 20874

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 ERRYN TANNER
Signature Title PRESIDENT
Signature Date 7/28/2020

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