FORM 1023-EZ for BLACK THERAPISTS ROCK INC

Field Data
EIN 82-2367034
Case Number EO-2021116-000759
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK THERAPISTS ROCK INC
Organization’s Mailing Address 5650 HOGENHILL TRAIL
City ROCKVILLE
State MD
ZIP 20853
Accounting period End 12
Primary contact name SONJA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERANDORIA YOUNG
PRESIDENT
5650 HOGENHILL TRAIL
ROCKVILLE MD 20853

Officer/Director/Trustee Two

SONJA WILLIAMS
CHAIRMAN OF THE BOARD
104 ASHTON OAKS COURT
ASHTON MD 20861

Officer/Director/Trustee Three

CANDANCE OGLESBY
SECRETARY
111 UPMANOR ROAD
BALTIMORE MD 21219

Officer/Director/Trustee Four

REQUINA BARNES
VICE PRESIDENT
204 COLUMBIA STREET NO 3
CAMBRIDGE MA 02139

Organization’s website BLACKTHERAPISTSROCK.COM
Organization’s email BLACKTHERAPISTSROCK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DERANDORIA YOUNG
Signature Title PRESIDENT
Signature Date 4/24/2021
EIN 82-2367034
Case Number EO-2018040-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK THERAPISTS ROCK INC
Organization’s Mailing Address 5650 HOGENHILL TERRACE
City ROCKVILLE
State MD
ZIP 20853
Accounting period End 8
Primary contact name DERANDORIA YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERANDORIA YOUNG
PRESIDENT
5650 HOGENHILL TERRACE
ROCKVILLE MD 20853

Officer/Director/Trustee Two

AUDRA UPCHURCH
TREASURE
702 WEYMOUTH COURT
VIRGINIA BEACH VA 23462

Officer/Director/Trustee Three

KHALILAH WILLIAMS
SECRETARY
826 COOLIDGE STREET
PLAINFIELD NJ 7062

Officer/Director/Trustee Four

NICOLE THOMPSON THOMPSON
VICE PRESIDENT
7908 RUGBY STREET
PHILADELPHIA PA 19150

Organization’s website WWW.BLACKTHERAPISTSROCK.COM
Organization’s email INFO@BLACKTHERAPISTSROCK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 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 DERANDORIA YOUNG
Signature Title PRESIDENT
Signature Date 2/7/18

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