FORM 1023-EZ for MAGIC BLACK GIRLS LEADERSHIP INSTITUTE

Field Data
EIN 83-1568441
Case Number EO-2019177-000312
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAGIC BLACK GIRLS LEADERSHIP INSTITUTE
Organization’s Mailing Address PO BOX 583225
City ELK GROVE
State CA
ZIP 95758-5970
Accounting period End 12
Primary contact name LEHA HAWKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEHA HAWKINS
EXECUTIVE DIRECTOR, PRESIDENT
9565 SUNLIGHT LANE
ELK GROVE CA 95758-1179

Officer/Director/Trustee Two

MELISSA COOK
VICE PRESIDENT, TREASURER
2860 PASEO RIO WAY APT 60
RANCHO CORDOVA CA 95827-1334

Officer/Director/Trustee Three

THISHA SMITH
SECRETARY, TREASURER
1100 HOWE AVE APT 426
SACRAMENTO CA 95825-8516

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State CA
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: 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 Yes
Unrelated Gross Income $1,000 or More Yes
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 LEHA HAWKINS
Signature Title EXECUTIVE DIRECTOR, PRESIDENT
Signature Date 6/24/19

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