FORM 1023-EZ for MARK A BLACK BASKETBALL ACADEMY INC

Field Data
EIN 85-3602209
Case Number EO-2021064-001358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARK A BLACK BASKETBALL ACADEMY INC
Organization’s Mailing Address 10060 SW 222ND ST
City CUTLER BAY
State FL
ZIP 33190-1563
Accounting period End 12
Primary contact name CAWANA BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK BLACK
PRESIDENT
10060 SW 222ND ST
CUTLER BAY FL 33190-1563

Officer/Director/Trustee Two

CAWANA BLACK
VICE PRESIDENT
10060 SW 222ND ST
CUTLER BAY FL 33190-1563

Officer/Director/Trustee Three

KENYON WILLIAMS
OFFICER
15859 SW 139 STREET
MIAMI FL 33196-6710

Officer/Director/Trustee Four

ROSSI SIEWNARINE
SECRETARY
11050 SW 170 TERRACE
MIAMI FL 33157-4011

Officer/Director/Trustee Five

MARSHA VANN
OFFICER
9771 SW 218 STREET
CUTLER BAY FL 33190-1533

Organization’s website WWW.MARKBLACKACADEMY.COM
Organization’s email MARKBLACKACADEMY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 No
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 CAWANA BLACK
Signature Title VICE PRESIDENT
Signature Date 1/11/2021

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