FORM 1023-EZ for BLACK OWNED EXCELLENCE

Field Data
EIN 85-4185564
Case Number EO-2021064-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK OWNED EXCELLENCE
Organization’s Mailing Address 5435 N GARLAND AVE SUITE 140 227
City GARLAND
State TX
ZIP 75040
Accounting period End 12
Primary contact name JERVAN WILTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERVAN WILTZ
DIRECTOR
5435 N GARLAND AVE SUITE 140 227
GARLAND TX 75040

Organization’s website https://box.black/
Organization’s email info@box.black
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R12 - Fund Raising and/or Fund Distribution
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 Yes
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 JERVAN WILTZ
Signature Title DIRECTOR
Signature Date 1/3/2021

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