FORM 1023-EZ for BLACK GENEALOGY SEARCH GROUP

Field Data
EIN 84-1259227
Case Number EO-2018323-000448
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK GENEALOGY SEARCH GROUP
Organization’s Mailing Address PO BOX 7276
City DENVER
State CO
ZIP 80207
Accounting period End 12
Primary contact name KENNETH BURNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH BURNS
PRESIDENT
1 OSPREY CIRCLE
THORNTON CO 80241

Officer/Director/Trustee Two

ADRIENNE BRYANT
1ST VICE PRESIDENT
3905 16TH AVE
DENVER CO 80206

Officer/Director/Trustee Three

CYNTHIA YORK
2ND VICE PRESIDENT
1 OSPREY CIRCLE
THORNTON CO 80241

Officer/Director/Trustee Four

KAREN ALLEN
TREASURER
17146 E NASSAU PL
AURORA CO 80013

Organization’s website WWW,BGSGDEN.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/82
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: No
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 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 KENNETH BURNS
Signature Title PRESIDENT
Signature Date 11/15/18

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