FORM 1023-EZ for BLOCKCHAIN901
| Field | Data |
|---|---|
| EIN | 82-3961135 |
| Case Number | EO-2019364-000198 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLOCKCHAIN901 |
| Organization’s Mailing Address | 4511 MINDEN RD |
| City | MEMPHIS |
| State | TN |
| ZIP | 38117 |
| Accounting period End | 12 |
| Primary contact name | CHRISTINE FAHEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRISTINE FAHEY
EXECUTIVE DIRECTOR
4511 MINDEN ROAD
MEMPHIS TN 38117
Officer/Director/Trustee Two
BRIAN WENTZLOFF
PRESIDENT
4511 MINDEN RD
MEMPHIS TN 38117
Officer/Director/Trustee Three
DEIDRE CHEWNING
SECRETARY
4511 MINDEN RD
MEMPHIS TN 38117
Officer/Director/Trustee Four
KEN GENDRICH
DIRECTOR
4511 MINDEN RD
MEMPHIS TN 38117
| Organization’s website | BLOCKCHAIN901.COM |
|---|---|
| Organization’s email | CHRISTINE@BLOCKCHAIN901.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/10/2018 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| 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 | CHRISTINE FAHEY |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 12/27/2019 |
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