FORM 1023-EZ for BEACON HILL BLACK ALLIANCE FOR HUMAN RIGHTS INC

Field Data
EIN 83-1842997
Case Number EO-2020321-000652
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEACON HILL BLACK ALLIANCE FOR HUMAN RIGHTS INC
Organization’s Mailing Address 4153 FLAT SHOALS PARKWAY SUITE 332
City DECATUR
State GA
ZIP 30034
Accounting period End 12
Primary contact name LYNN FOWLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAWULI DAVIS
CEO AND DIRECTOR
4153 FLAT SHOALS PARKWAY SUITE 332
DECATUR GA 30034

Officer/Director/Trustee Two

PAUL MCCLELLAN
SECRETARY AND DIRECTOR
851 ALBERTSON COURT
DECATUR GA 30033

Officer/Director/Trustee Three

INGRA MYRICK
CFO AND DIRECTOR
212 ADAIR STREET APT D1
DECATUR GA 30030

Officer/Director/Trustee Four

FONTA HIGH
DIRECTOR
1972 TERRY MILL ROAD SE
ATLANTA GA 30316

Officer/Director/Trustee Five

PHIL CUFFEY
DIRECTOR
408 ADAMS STREET
DECATUR GA 30030

Organization’s website BEACONHILLSBLACKALLIANCE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2018
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R22 - Minority Rights
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 Yes
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 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 MAWULI DAVIS
Signature Title CEO AND DIRECTOR
Signature Date 11/13/2020

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