FORM 1023-EZ for BLUEGRASS BLACK PRIDE INC

Field Data
EIN 81-4270739
Case Number EO-2016319-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUEGRASS BLACK PRIDE INC
Organization’s Mailing Address 417 SCOTTSDALE CIRCLE
City LEXINGTON
State KY
ZIP 40511
Accounting period End 12
Primary contact name ALLISON CONNELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK JOHNSON
DIRECTOR AND CO-PRESIDENT
417 SCOTTSDALE CIRCLE
LEXINGTON KY 40511

Officer/Director/Trustee Two

ILLYA ADAMS-JONES
DIRECTOR AND CO-PRESIDENT
3653 BEATEN PATH
LEXINGTON KY 40509

Officer/Director/Trustee Three

REINETTE JONES
DIRECTOR AND SECRETARY
2968 MASTERS VIEW ROAD
LEXINGTON KY 40511

Officer/Director/Trustee Four

CHARLES KRUTCHER
TREASURER
660 NORTH MARTIN LUTHER KING BLVD
LEXINGTON KY 40508

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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