FORM 1023-EZ for BLACK FEMOPOLIS

Field Data
EIN 84-3024917
Case Number EO-2019263-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK FEMOPOLIS
Organization’s Mailing Address 4700
City PHOENIX
State AZ
ZIP 85016
Accounting period End 12
Primary contact name LEE JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RADESHA WILLIAMS
DIRECTOR
4700 N 16TH STREET APT 136
PHOENIX AZ 85016

Officer/Director/Trustee Two

SHAMEKA JOHNSON
DIRECTOR
2511 W QUEENCREEK ROAD APT 139
CHANDLER AZ 85248

Officer/Director/Trustee Three

CHASTITY WHITE
DIRECTOR
4325 SOUTHERN PARKWAY APT A8
LOUISVILLE KY 40214

Officer/Director/Trustee Four

CHRISTIE PERRY
DIRECTOR
5012 HECTARE LANE
LAVERGE TN 37086

Officer/Director/Trustee Five

NICOLE DENT
DIRECTOR
7235 S 17TH DRIVE
PHOENIX AZ 85041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S81 - Women's Service Clubs
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 RADESHA WILLIAMS
Signature Title DIRECTOR
Signature Date 9/18/19

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