FORM 1023-EZ for BLACK GIRLS BLOSSOM

Field Data
EIN 82-4625684
Case Number EO-2018071-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK GIRLS BLOSSOM
Organization’s Mailing Address 2420 HACKETT DR STE 82
City HOUSTON
State TX
ZIP 77008
Accounting period End 12
Primary contact name LAKEDA CUNNINGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDI BROWN
DIRECTOR
810 W GARFIELD
LONGVIEW TX 75602

Officer/Director/Trustee Two

BRIANNA CHAMBERS
DIRECTOR
200 DOMINION PARK DR
HOUSTON TX 77090

Officer/Director/Trustee Three

AMIYAH EDWARDS
SECRETARY
3642 YORKINGHAM DR
HOUSTON TX 77066

Officer/Director/Trustee Four

BRENDA EDWARDS
DIRECTOR
3642 YORKINGHAM DR
HOUSTON TX 77066

Officer/Director/Trustee Five

LAKEDA CUNNINGHAM
PRESIDENT
2420 HACKETT DR STE 82
HOUSTON TX 77008

Organization’s website
Organization’s email BLACKGIRLSBLOSSOM@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 LAKEDA CUNNINGHAM
Signature Title PRESIDENT
Signature Date 3/9/18

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