FORM 1023-EZ for BRIDGE BUILDERS LEADERSHIP INITIATIVE

Field Data
EIN 83-1339739
Case Number EO-2018218-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIDGE BUILDERS LEADERSHIP INITIATIVE
Organization’s Mailing Address 204 COUNTRY PLACE PKWY
City PEARL
State MS
ZIP 39208
Accounting period End 6
Primary contact name JAMANE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMANE WILLIAMS
PRESIDENT
431 HEMLOCK DR
FLOWOOD MS 39232

Officer/Director/Trustee Two

SHANTA VILLANUEVA
VICE PRESIDENT
937 JENKINS ST
PEARL MS 39208

Officer/Director/Trustee Three

MAVIS SEABERRY
TREASURER
213 MORROW ST
BRANDON MS 39042

Officer/Director/Trustee Four

CINDY GRANTHAM
SECRETARY
109 PINE RIDGE COVE
PEARL MS 39208

Officer/Director/Trustee Five

LAURETHA BELLINDER
EXECUTIVE DIRECTOR
101 WINDSOR BLVD
BRANDON MS 39042

Organization’s website WWW.BBLI.ORG
Organization’s email LBELLINDER@BBLI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/18
Organization Incorporation State MS
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: Yes
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 Yes
Donation of funds Yes
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 JAMANE WILLIAMS
Signature Title PRESIDENT
Signature Date 8/2/18

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