FORM 1023-EZ for BLACKSTARR FOR THE AMERICAN SOLDIER

Field Data
EIN 35-2490986
Case Number EO-2018169-000457
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACKSTARR FOR THE AMERICAN SOLDIER
Organization’s Mailing Address 4323 FRONTIER AVENUE
City FAYETTEVILLE
State NC
ZIP 28312
Accounting period End 12
Primary contact name GLENDER PEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MUSTAFA AL-AMIN
CHAIRPERSON
4323 FRONTIER AVENUE
FAYETTEVILLE NC 28312

Officer/Director/Trustee Two

FAYE ROBINSON
BOARDMEMBER
P O BOX 680
STEDMAN NC 28391

Officer/Director/Trustee Three

BRENDA WHITMIRE
BOARDMEMBER
1213 BUTTERWOOD CIRCLE
FAYETTEVILLE NC 28314

Officer/Director/Trustee Four

JUTTA KING
BOARDMEMBER
5544 HEDRICK DRIVE
FAYETTEVILLE NC 28303

Officer/Director/Trustee Five

GLENDER PEE
BOARDMEMBER
925 RAMSEY ST
FAYETTEVILLE NC 28301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/14
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
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 MUSTAFA AL-AMIN
Signature Title CHAIRPERSON
Signature Date 6/13/18

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