FORM 1023-EZ for BLACK GIRL EMPOWERMENT INC

Field Data
EIN 86-2534419
Case Number EO-2021097-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK GIRL EMPOWERMENT INC
Organization’s Mailing Address 126 HAWKS TAIL DRIVE
City KATHLEEN
State GA
ZIP 31047
Accounting period End 12
Primary contact name BRITTANY WYNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY WYNN
PRESIDENT
126 HAWKS TRAIL DRIVE
KATHLEEN GA 31047

Officer/Director/Trustee Two

JESSICA GREEN
TREASURER
57 PARK LANE
WARNER ROBINS GA 31093

Officer/Director/Trustee Three

BRITTANY HASLAM
SECRETARY
106 IVORY DRIVE
KATHLEEN GA 31047

Officer/Director/Trustee Four

TIARA CHAPMAN
BOARD MEMBER
407 JUBLIEE CIRCLE
BONAIRE GA 31005

Officer/Director/Trustee Five

ASHLEY GARNER
BOARD MEMBER
626 MORNINGSIDE DRIVE N
STOCKBRIDGE GA 30281

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2018
Organization Incorporation State GA
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: Yes
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 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 BRITTANY WYNN
Signature Title PRESIDENT
Signature Date 3/12/2021

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