FORM 1023-EZ for BLACKAPPL HELP INC

Field Data
EIN 85-2208756
Case Number EO-2020213-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACKAPPL HELP INC
Organization’s Mailing Address 1300 BEAR GULCH ROAD
City WOODSIDE
State CA
ZIP 94062-4431
Accounting period End 12
Primary contact name LAURIE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOMINIKA BLACKAPPL
PRESIDENT, DIRECTOR, CHAIRMAN
1300 BEAR GULCH ROAD
WOODSIDE CA 94062-4431

Officer/Director/Trustee Two

LAURIE MILLER
SECRETARY, DIRECTOR
18 BARTOL STREET SUITE 137
SAN FRANCISCO CA 94133-4501

Officer/Director/Trustee Three

KATHLEEN FLETCHER
DIRECTOR
1300 BEAR GULCH ROAD
WOODSIDE CA 94062-4431

Officer/Director/Trustee Four

MICHAL SLOBODA
TREASURER
1300 BEAR GULCH ROAD
WOODSIDE CA 94062-4431

Organization’s website N/A
Organization’s email LAURIE@LAMILLERLAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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 LAURIE MILLER
Signature Title SECRETARY, DIRECTOR
Signature Date 7/29/2020

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