FORM 1023-EZ for MISS BLACK PASADENA MENTOR AND SCHOLARSHIP PROGRAM
| Field | Data |
|---|---|
| EIN | 84-1964838 |
| Case Number | EO-2019219-000297 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MISS BLACK PASADENA MENTOR AND SCHOLARSHIP PROGRAM |
| Organization’s Mailing Address | 2051 LINCOLN AVE |
| City | PASADENA |
| State | CA |
| ZIP | 91103-1324 |
| Accounting period End | 12 |
| Primary contact name | DENISE JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TAMIEKO FOSTER
CEO
7025 ROSEMEAD BLVD 26
SAN GABRIEL CA 91775
Officer/Director/Trustee Two
DENISE JOHNSON
COO
4439 OCEAN VIEW BLVD 5
MONTROSE CA 91020
Officer/Director/Trustee Three
NAYALYA ROMO-JONES
CFO
35 EL NIDO AVE
PASADENA CA 91107
Officer/Director/Trustee Four
SHAMARA GRAHAM
CXO
1260 N RAYMOND AVE
PASADENA CA 91103
Officer/Director/Trustee Five
SHANNON BOWMAN
CAO
258 W ALTADENA DR
ALTADENA CA 91001
| Organization’s website | |
|---|---|
| Organization’s email | MISSBLACKPASADENA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/3/19 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B80 - Student Services, Organizations of Students |
| 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 | 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 | DENISE JOHNSON |
| Signature Title | COO |
| Signature Date | 8/5/19 |
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