FORM 1023-EZ for BLACK FOREST SOLUTIONS INC

Field Data
EIN 83-2184998
Case Number EO-2019084-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK FOREST SOLUTIONS INC
Organization’s Mailing Address 279 BEAVER
City MASTIC BEACH
State NY
ZIP 11951
Accounting period End 9
Primary contact name WILLIAM MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM MARTIN
CEO/BOARD MEMBER
279 BEAVER DR
MASTIC NY 11951

Officer/Director/Trustee Two

JASON JENKINS
BOARD MEMBER
20 POPLUR PALCE
BAY SHORE NY 11951

Officer/Director/Trustee Three

HAKEEM MEALING
BOARD MEMBER
119-47 130 ST
SOUTH OZONE PARK NY 11420

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
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 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 WILLIAM MARTIN
Signature Title CEO/BOARD MEMBER
Signature Date 3/21/19

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