FORM 1023-EZ for DC BLACK FILM FESTIVAL

Field Data
EIN 81-4849666
Case Number EO-2019039-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DC BLACK FILM FESTIVAL
Organization’s Mailing Address 2020 CONNECTICUT AVE NW
City WASHINGTON
State DC
ZIP 20008
Accounting period End 12
Primary contact name ALEXANDRA SAMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN SAMPSON
PRESIDENT & DIRECTOR
2020 CONNECTICUT AVE NW
WASHINGTON DC 20008

Officer/Director/Trustee Two

ALEXANDRA SAMPSON
TREASURER & DIRECTOR
2020 CONNECTICUT AVE NW
WASHINGTON DC 20008

Officer/Director/Trustee Three

JONELLE HENRY
SECRETARY & DIRECTOR
2020 CONNECTICUT AVE NW
WASHINGTON DC 20008

Officer/Director/Trustee Four

OTESSA GHADAR
DIRECTOR
2020 CONNECTICUT AVE NW
WASHINGTON DC 20008

Officer/Director/Trustee Five

TED ADAMS III
DIRECTOR
2020 CONNECTICUT AVE NW
WASHINGTON DC 20008

Organization’s website WWW.DCBFF.ORG
Organization’s email INFO@DCBFF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/16
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN SAMPSON
Signature Title PRESIDENT & DIRECTOR
Signature Date 2/4/19

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