FORM 1023-EZ for BLACK LIGHT ARTS COLLECTIVE

Field Data
EIN 85-1179904
Case Number EO-2020276-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK LIGHT ARTS COLLECTIVE
Organization’s Mailing Address 5310 CANYON CREST DRIVE UNIT 51
City RIVERSIDE
State CA
ZIP 92507-6367
Accounting period End 12
Primary contact name JALISA JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JALISA JACKSON
PRESIDENT
5310 CANYON CREST DRIVE UNIT 51
RIVERSIDE CA 92507-6367

Officer/Director/Trustee Two

JANAY JACKSON
TREASURER
5310 CANYON CREST DRIVE UNIT 51
RIVERSIDE CA 92507-6367

Officer/Director/Trustee Three

LISA JAMES-REMBERT
SECRETARY
5310 CANYON CREST DRIVE UNIT 51
RIVERSIDE CA 92507-6367

Organization’s website WWW.BLACKLIGHTARTSCOLLECTIVE.COM
Organization’s email BLACKLIGHTARTSCOLLECTIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2020
Organization Incorporation State CA
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 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 JALISA JACKSON
Signature Title PRESIDENT
Signature Date 9/30/2020

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