FORM 1023-EZ for BLACK SPACE
| Field | Data |
|---|---|
| EIN | 86-2118931 |
| Case Number | EO-2021131-000160 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK SPACE |
| Organization’s Mailing Address | 1303 NORTH 10TH STREET APT 418 |
| City | MILWAUKEE |
| State | WI |
| ZIP | 53205 |
| Accounting period End | 2 |
| Primary contact name | DONTRELL COREY FELLS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DONTRELL FELLS
PRESIDENT
1303 NORTH 10TH STREEET APT 418
MILWAUKEE WI 53205
Officer/Director/Trustee Two
DARIUS SMITH
VICE PRESIDENT
1566 NORTH WARREN AVENUE
MILWAUKEE WI 53202
Officer/Director/Trustee Three
DR LIA KNOX
SECRETARY
840 TANGLEWOOD DRIVE
BROOKFIELD WI 53005
| Organization’s website | WWW.BLACKSPACEHQ.COM |
|---|---|
| Organization’s email | BLACKSPACEMKE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/21/2021 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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 | Yes |
| 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 | DONTRELL FELLS |
| Signature Title | PRESIDENT |
| Signature Date | 5/7/2021 |
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