FORM 1023-EZ for BEING BLACK AT SCHOOL INC

Field Data
EIN 81-4677089
Case Number EO-2017075-000511
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEING BLACK AT SCHOOL INC
Organization’s Mailing Address 4661 BARRINGTON DRIVE
City SPRINGFIELD
State IL
ZIP 62711-7262
Accounting period End 11
Primary contact name KELLY WICKHAM HURST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY HURST
EXECUTIVE DIRECTOR
4661 BARRINGTON DRIVE
SPRINGFIELD IL 62711-7262

Officer/Director/Trustee Two

COLIN MCGINNIS
DIRECTOR
1721 PARK AVE
OMAHA NE 68105

Officer/Director/Trustee Three

JOSEPH COOK
DIRECTOR
1104 AUTUMN WOOD CIRCLE
COLUMBIA TN 38401

Organization’s website HTTP://BEINGBLACKATSCHOOL.ORG
Organization’s email KELLY@BEINGBLACKATSCHOOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - 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 Yes
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 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
Signature Title
Signature Date

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