FORM 1023-EZ for BLH SERVICE FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-3784523 |
| Case Number | EO-2015264-000501 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BLH SERVICE FOUNDATION |
| Organization’s Mailing Address | 4712 MOLSONWOOD |
| City | BARTLETT |
| State | TN |
| ZIP | 38125 |
| Accounting period End | 5 |
| Primary contact name | ANDRE KEMP |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
ANDRE KEMP
EXECUTIVE DIRECTOR
4712 MOLSONWOOD
BARTLETT TN 38135
Officer/Director/Trustee Two
ANITA MCNEIL
BOARD MEMBER
114 ERICSON
CORDOVA TN 38108
Officer/Director/Trustee Three
KENNETH BROWN
BOARD MEMBER
2871 FULHAM PLACE
MEMPHIS TN 38128
Officer/Director/Trustee Four
CARY WOODS
BOARD MEMBER
1678 RIVERSIDE DRIVE
MEMPHIS TN 38109
Officer/Director/Trustee Five
MARCUS WILLIAMS
BOARD MEMBER
4934 WEMBERLEY
MEMPHIS TN 38125
| Organization’s website | NA |
|---|---|
| Organization’s email | BLHSERVICEFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/11/2015 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T31 - Community Foundations |
| 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 | Yes |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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