| Field | Data |
|---|---|
| EIN | 81-1447540 |
| Case Number | EO-2016056-000163 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK AND BLUE BARBELL CLUB |
| Organization’s Mailing Address | 10901 MIST LANE APT 5109 |
| City | HOUSTON |
| State | TX |
| ZIP | 77070 |
| Accounting period End | 12 |
| Primary contact name | KELLY MCQUEEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
KELLY MCQUEEN
DIRECTOR AND PRESIDENT
10901 MIST LANE APT 5109
HOUSTON TX 77070
LA TONDA MCQUEEN
TREASURER
12351 VINTAGE LEAF CIRCLE
HOUSTON TX 77070
KELSEY MCQUEEN
SECRETARY
807 E 47TH STREET UNIT A
AUSTIN TX 78758
BARRY BROOKS
DIRECTOR
4374 RHODODENDRON DR
OAK HARBOR WA 98277
CHRIS GIRGIS
DIRECTOR
14216 CYPRESS NORTH HOUSTON
HOUSTON TX 77429
| Organization’s website | WWW.KELLYSCHAMPIONS.NET |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/28/2016 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O99 - Youth Development N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: Yes 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 | |
| Signature Title | |
| Signature Date |
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