FORM 1023-EZ for BLACK ORCHID MARTIAL ARTS AND BOXING INC

Field Data
EIN 86-1634113
Case Number EO-2021141-000844
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK ORCHID MARTIAL ARTS AND BOXING INC
Organization’s Mailing Address 325 ENON CT SW
City ATLANTA
State GA
ZIP 30331
Accounting period End 12
Primary contact name RICA T GRANDISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICA GRANDISON
CEO BOARD PRESIDENT
325 ENON CT SW
ATLANTA GA 30331

Officer/Director/Trustee Two

NICOLE VEST
BOARD SECRETARY
880 GLENWOOD AVE SE UNIT 3376
ATLANTA GA 30316

Officer/Director/Trustee Three

MICHELE GRANDISON
BOARD CFO
325 ENON CT SW
ATLANTA GA 30331

Officer/Director/Trustee Four

JENNIFER HOSSLER
BOARD VICE PRESIDENT
569 TERRY ST SE
ATLANTA GA 30315

Organization’s website BLACKORCHIDMARTIALARTS.COM
Organization’s email INFO@BLACKORCHIDMARTIALARTS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICOLE VEST
Signature Title BOARD SECRETARY
Signature Date 5/19/2021

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