FORM 1023-EZ for THE ALL BLACK NETWORK FOUNDATION

Field Data
EIN 85-3625432
Case Number EO-2021063-000658
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ALL BLACK NETWORK FOUNDATION
Organization’s Mailing Address 6114 LASALLE AVE
City OAKLAND
State CA
ZIP 94611
Accounting period End 7
Primary contact name DOMINIQUE EMANUEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOMINIQUE EMANUEL
CEO
2371 RUSSELL STREET
TRACY CA 95376

Officer/Director/Trustee Two

VALENA JORDAN
CHAIRMAN
22280 SOUTH 209TH WAY APT221
QUEEN CREEK AZ 85142

Officer/Director/Trustee Three

SARAH THOMPASIONAS
SECRETARY
10710 NE 3RD AVE
MIAMI FL 33161

Officer/Director/Trustee Four

KEYREISHA DAWES
TREASURER
15090 RIXEYVILLE RD
CULPEPER VA 22701

Officer/Director/Trustee Five

NATE HOUSTON
NATIONAL DIRECTOR
3609 POND RIDGE CT E
JACKSONVILLE FL 32223

Organization’s website TABNF.ORG
Organization’s email DEMANUEL@TABNF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 DOMINIQUE EMANUEL
Signature Title CEO
Signature Date 12/30/2020

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