FORM 1023-EZ for BLACK BELT CHESS ACADEMY

Field Data
EIN 83-2571031
Case Number EO-2019030-000537
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK BELT CHESS ACADEMY
Organization’s Mailing Address 12215 ASHBURY AVE APT 306
City CLEVELAND
State OH
ZIP 44106
Accounting period End 12
Primary contact name TARU TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARU TAYLOR
PRESIDENT
12215 ASHBURY AVE APT 306
CLEVELAND OH 44106

Officer/Director/Trustee Two

ELIZABETH AKINBIYI
TREASURER
12876 CEDAR RD
CLEVELAND OH 44118

Officer/Director/Trustee Three

CHERYL LAUDERDALE
SECRETARY
4535 SAINT GERMAIN BOULEVARD
WARRENSVILLE HEIGHTS OH 44128

Officer/Director/Trustee Four

BRANDON GRAY
CHIEF TECHNOLOGY OFFICER
288 PARKER AVE
SAN FRANCISCO CA 94118

Officer/Director/Trustee Five

CALVIN MARSHALL
CHESS COACH & INSTRUCTOR
1990 FORD DRIVE APT 310
CLEVELAND OH 44106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 TARU TAYLOR
Signature Title PRESIDENT
Signature Date 12/26/18

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