FORM 1023-EZ for BLACK APPLIED BEHAVIOR ANALYSIS ASSOCIATION INC
| Field | Data |
|---|---|
| EIN | 84-1829655 |
| Case Number | EO-2019143-000292 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK APPLIED BEHAVIOR ANALYSIS ASSOCIATION INC |
| Organization’s Mailing Address | 745 AUBURN RIDGE WAY |
| City | RIVERDALE |
| State | GA |
| ZIP | 30296 |
| Accounting period End | 12 |
| Primary contact name | ALESIA RHODES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVINA BLAIR
PRESIDENT
745 AUBURN RIDGE WAY
RIVERDALE GA 30296
Officer/Director/Trustee Two
DEHAZARD ALLEN
VICE PRESIDENT
4572 FM 1960 RD W
HOUSTON TX 77069
Officer/Director/Trustee Three
JASMIN FAULK
TREASURER
2750 CREEK MEADOWS PL
FAYETTEVILLE NC 28304
Officer/Director/Trustee Four
KATHERYN JACKSON
SECRETARY
3217 CIRCLE DRIVE
BESSEMER AL 35023
Officer/Director/Trustee Five
ALESIA RHODES
MEMBER
921 N CENTER AVENUE
PANAMA CITY FL 32401
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/25/19 |
| Organization Incorporation State | GA |
| 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: 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 | ALESIA RHODES |
| Signature Title | MEMBER |
| Signature Date | 5/21/19 |
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