FORM 1023-EZ for THE BLACK STARR INC

Field Data
EIN 81-4800755
Case Number EO-2020262-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLACK STARR INC
Organization’s Mailing Address 2221 HEMBERGER STREET
City PHILADELPHIA
State PA
ZIP 19145
Accounting period End 12
Primary contact name GENE BAZEMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GENE BAZEMORE
PRESIDENT/DIRECTOR
2221 HEMBERGER STREET
PHILA PA 19145

Officer/Director/Trustee Two

SHANA POWELL
TREASURER
2611 HANCOCK STREET
PHILADELPHIA PA 19148

Officer/Director/Trustee Three

LASHEA ALLEN
SECRETARY
136 NATHAN DRIVE NORTH
BRUNSWICK NJ 08902

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 GENE BAZEMORE
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/16/2020

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