FORM 1023-EZ for BLESSED IS HER NAME

Field Data
EIN 83-0985265
Case Number EO-2018313-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESSED IS HER NAME
Organization’s Mailing Address 2402 WINBURN AVE
City DURHAM
State NC
ZIP 27704-5146
Accounting period End 12
Primary contact name LAKISHA DZILAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKISHA DZILAH
EXECUTIVE DIRECTOR
2402 WINBURN AVE
DURHAM NC 27704-5146

Officer/Director/Trustee Two

MONICA JOHNSON
TREASUER
1044 MEADOWBROOK LANE
CONCORD NC 28027

Officer/Director/Trustee Three

DELACEY SNIPES
SECETARY
2912 SPRUCEWOOD DRIVE
DURHAM NC 27707

Organization’s website WWW.BLESSEDISHERNAME.ORG
Organization’s email LAKISHA@BLESSEDISHERNAME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 LAKISHA DZILAH
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/7/18

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