FORM 1023-EZ for FOCUS BLACK FEMALES INC

Field Data
EIN 81-2276033
Case Number EO-2016152-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOCUS BLACK FEMALES INC
Organization’s Mailing Address 3033 W NORRIS STREET
City PHILADELPIA
State PA
ZIP 19121-1826
Accounting period End 12
Primary contact name F JOHN HAGELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANA RANDOLPH
PRESIDENT AND TREASURER
3033 W NORRIS STREET
PHILADELPHIA PA 19121-1826

Officer/Director/Trustee Two

AISHA HUTSON
VICE PRESIDENT
823 FERN STREET
YEADON PA 19050-3622

Officer/Director/Trustee Three

DARLENE RANDOLPH
SECRETARY
1620 N 17TH STREET
PHILADELPHIA PA 19121-3206

Officer/Director/Trustee Four

CARRIE LESSENE
DIRECTOR
3047 W SUSQUEHANNA AVENUE
PHILADELPHIA PA 19121-1122

Officer/Director/Trustee Five

NICOLE SHAW
DIRECTOR
619 GLENVIEW STREET
PHILADELPHIA PA 19111-4308

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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
Signature Title
Signature Date

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