| Field | Data |
|---|---|
| EIN | 85-1770483 |
| Case Number | EO-2020209-000467 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK PLAY-BY-PLAY BROADCASTER GRANT & SCHOLARSHIP FUND |
| Organization’s Mailing Address | 160 FREMONT STREET - UNIT 235 |
| City | WORCESTER |
| State | MA |
| ZIP | 01603 |
| Accounting period End | 12 |
| Primary contact name | ADAM GIARDINO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ADAM GIARDINO
PRESIDENT, TREASURER
160 FREMONT STREET - UNIT 235
WORCESTER MA 01603
JAY BURNHAM
SECRETARY
15 NONOTUCK STREET - APT 1
FLORENCE MA 01062
ROBERT FORD
BOARD MEMBER
2120 KIPLING ST - UNIT 205
HOUSTON TX 77098
DAVID SIMS
BOARD MEMBER
2801 WESTERN AVENUE
SEATTLE WA 98121
ALEXANDER COHEN
BOARD MEMBER
100 JACKSON AVE - UNIT B118
DES MOINES IA 50315
| Organization’s website | WWW.ADAMGIARDINO.COM/DONATE |
|---|---|
| Organization’s email | BLACKPXPFUND@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/29/2020 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A30 - Media, Communications Organizations |
| 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 | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| 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 | ADAM GIARDINO |
| Signature Title | PRESIDENT, TREASURER |
| Signature Date | 7/20/2020 |
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