FORM 1023-EZ for BLACK LEADERS AND ADMINISTRATORS COSORTIUM INCORPORATED

Field Data
EIN 83-2633607
Case Number EO-2020049-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK LEADERS AND ADMINISTRATORS COSORTIUM INCORPORATED
Organization’s Mailing Address 10 SABRINA DRIVE
City WINDSOR
State CT
ZIP 06095
Accounting period End 12
Primary contact name HARRY K BONSU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRELL HILL
PRESIDENT
10 SABRINA DRIVE
WINDOR CT 06095

Officer/Director/Trustee Two

SAMUEL GALLOWAY
DIRECTOR
124 SADDLE HILL DRIVE
MIDDLETOWN CT 06457

Officer/Director/Trustee Three

ROSZENA HASKINS
DIRECTOR
117 HICKORY HILL LANE
NEWINGTON CT 06111

Officer/Director/Trustee Four

SANTOSHA OLIVER
DIRECTOR
62 W INTONBURY AVENUE
BLOOMFIRLD CT 06002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2018
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 TERRELL HILL
Signature Title PRESIDENT
Signature Date 2/14/2020

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