FORM 1023-EZ for DEAR BLACK GIRL INCORPORATED

Field Data
EIN 81-2909627
Case Number EO-2017128-000062
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEAR BLACK GIRL INCORPORATED
Organization’s Mailing Address 90 STATE STREET STE 700
City ALBANY
State NY
ZIP 12207-1716
Accounting period End 12
Primary contact name CASSANDRA PRYOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA PRYOR
PRESIDENT
148 STERLING AVENUE
JERSEY CITY NJ 07305-1428

Officer/Director/Trustee Two

TAQUANA DOUGLAS
SECRETARY
25 MANCHESTER PLACE APT 1B
NEWARK NJ 07104-1663

Officer/Director/Trustee Three

MELODY SMALLS
TREASURER
148 STERLING AVENUE
JERSEY CITY NJ 07305-1428

Organization’s website HTTP://DEARBLACKGIRL.COM/
Organization’s email DEARBLACKGIRL16@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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