FORM 1023-EZ for 100 BLACK MEN OF GREATER FLORIDA GNV INC

Field Data
EIN 85-0715618
Case Number EO-2020279-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 100 BLACK MEN OF GREATER FLORIDA GNV INC
Organization’s Mailing Address 24407 SW 6TH PLACE
City NEWBERRY
State FL
ZIP 32669
Accounting period End 12
Primary contact name JAMAR HEBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMAR HEBERT
PRESIDENT
24407 SW 6TH PLACE
NEWBERRY FL 32669

Officer/Director/Trustee Two

MATTHEW BOWMAN
VICE PRESIDENT
24407 SW 6TH PLACE
NEWBERRY FL 32669

Officer/Director/Trustee Three

MORTLAKE NEMBHARD
VICE PRESIDENT OF FINANCE
24407 SW 6TH PLACE
NEWBERRY FL 32669

Officer/Director/Trustee Four

DARRY LLOYD
VICE PRESIDENT OF PROGRAMS
24407 SW 6TH PLACE
NEWBERRY FL 32669

Officer/Director/Trustee Five

JOHN ALEXANDER
VICE PRESIDENT OF COMMUNICATIONS
24407 SW 6TH PLACE
NEWBERRY FL 32669

Organization’s website HTTP://WWW.100BLACKMENFL.ORG/
Organization’s email 100BLACKMENGNV@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
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 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 JAMAR HEBERT
Signature Title PRESIDENT
Signature Date 10/3/2020

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