FORM 1023-EZ for THE BLAACOUT PROJECT INC

Field Data
EIN 83-4039906
Case Number EO-2019235-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLAACOUT PROJECT INC
Organization’s Mailing Address PO BOX 4481
City PITTSBURGH
State PA
ZIP 15205
Accounting period End 12
Primary contact name LATISHA L LEWIS-FAVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATISHA LEWIS-FAVERS
BOARD PRESIDENT
PO BOX 4481
PITTSBURGH PA 15205

Officer/Director/Trustee Two

GWENDOLYN LEWIS
BOARD SECRETARY
PO BOX 4481
PITTSBURGH PA 15205

Officer/Director/Trustee Three

MONICA GAINES
BOARD TREASURER
PO BOX 4481
PITTSBURGH PA 15205

Organization’s website
Organization’s email LLEWIS-FAVERS@THEBLAACOUTPROJECT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
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 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 LATISHA LEWIS-FAVERS
Signature Title BOARD PRESIDENT
Signature Date 8/21/19

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