FORM 1023-EZ for BLACK MEN ROCK IMAGE AWARDS SCHOLARSHIP FOUNDATION INCORPORATED

Field Data
EIN 82-4030020
Case Number EO-2018068-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK MEN ROCK IMAGE AWARDS SCHOLARSHIP FOUNDATION INCORPORATED
Organization’s Mailing Address 123 THOMAS STREET
City SUFFOLK
State VA
ZIP 23434-3240
Accounting period End 12
Primary contact name SEKENIA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEKENIA WILLIAMS
CEO
1908 E WASHINGTON STREET
SUFFOLK VA 23434-3240

Officer/Director/Trustee Two

SHERRIE GREEN
BOARD MEMBER
322 MARSH LOOP
HAMPTON VA 23669-4634

Officer/Director/Trustee Three

JAY LANG
BOARD MEMBER
1908 E WASHINGTON STREET
SUFFOLK VA 23434-3240

Officer/Director/Trustee Four

ADRIENNE BOWERS
BOARD MEMBER
1908 E WASHINGTON STREET
SUFFOLK VA 23434-3240

Officer/Director/Trustee Five

VONNIE THOMAS
BOARD MEMBER
1908 E WASHINGTON STREET
SUFFOLK VA 23434-3240

Organization’s website WWW.BLACKMENROCKIMAGEAWARDSFOUNDATIONINC.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/17
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 SEKENIA WILLIAMS
Signature Title CEO
Signature Date 3/7/18

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