FORM 1023-EZ for CHS BLACK ALUMNI FOUNDATION
| Field | Data |
|---|---|
| EIN | 86-2742112 |
| Case Number | EO-2021100-000120 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHS BLACK ALUMNI FOUNDATION |
| Organization’s Mailing Address | 2600 N SHADOW CREST DRIVE |
| City | FAYETTEVILLE |
| State | AR |
| ZIP | 72704 |
| Accounting period End | 12 |
| Primary contact name | BRYNA MCDANIEL KHAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES MARSHALL
PRESIDENT
PO BOX 21175
TALLAHASSEE FL 32316
Officer/Director/Trustee Two
GREGORY WILLIAMS
VICE PRESIDENT
2600 N SHADOW CREST DRIVE
FAYETTEVILLE AR 72704
Officer/Director/Trustee Three
BRANDY BROWN
TREASURER
875 BROWNSTONE DRIVE
CONWAY AR 72034
Officer/Director/Trustee Four
BRYNA MCDANIEL KHAN
SECRETARY
3350 NICKLAUS DRIVE
CONWAY AR 72034
| Organization’s website | N/A |
|---|---|
| Organization’s email | CHSBLACKALUM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/11/2021 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| 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 | 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 | BRYNA MCDANIEL KHAN |
| Signature Title | SECRETARY |
| Signature Date | 3/26/2021 |
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