FORM 1023-EZ for BLACK FAMILY SCHOLAR INC

Field Data
EIN 84-3311729
Case Number EO-2019301-000507
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK FAMILY SCHOLAR INC
Organization’s Mailing Address 207 YOUNG ST
City TALLAHASSEE
State FL
ZIP 32301
Accounting period End 12
Primary contact name CHRISTIN DANIELLE HAYNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTIN HAYNES
PRESIDENT
207 YOUNG ST
TALLAHASSEE NJ 32301

Officer/Director/Trustee Two

NZINGA METZGER
OFFICER
2420 JIM LEE ROAD
TALLAHASSEE FL 32301

Officer/Director/Trustee Three

LATOYA LEE
OFFICER
491 PATRICIA CIRCLE SW
ATLANTA GA 30311

Officer/Director/Trustee Four

ESIAS LEE
OFFICER
2141 TED HINES ROAD
TALLAHASSEE FL 32308

Officer/Director/Trustee Five

LEAH BAYNARD
TREASURER
5125 PLANTERS CROSSING
HAHIRA GA 31632

Organization’s website WWW.BLACKFAMILYSCHOLAR.COM
Organization’s email INFO@BLACKFAMILYSCHOLAR.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V31 - Black Studies
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 CHRISTIN HAYNES
Signature Title PRESIDENT
Signature Date 10/24/19

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