FORM 1023-EZ for BLATINX INTERNSHIP INC

Field Data
EIN 86-3039925
Case Number EO-2021102-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLATINX INTERNSHIP INC
Organization’s Mailing Address 2020 HOWELL MILL ROAD SUITE D 318
City ATLANTA
State GA
ZIP 30318
Accounting period End 12
Primary contact name CHLOE MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHLOE MOORE
TREASURER, DIRECTOR
2020 HOWELL MILL ROAD SUITE D 318
ATLANTA GA 30318

Officer/Director/Trustee Two

SHAWN TYDLASKA
PRESIDENT, DIRECTOR
340 LORTON AVENUE SUITE 216
BURLINGAME CA 94010

Officer/Director/Trustee Three

LUIS ROSA
SECRETARY, DIRECTOR
2831 ST ROSE PARKWAY SUITE 200
HENDERSON NV 89052

Officer/Director/Trustee Four

EMLEN MILES MATTINGLY
DIRECTOR
2351 W CLEVELAND AVENUE SUITE 314
MADERA CA 93637

Organization’s website HTTPS://BLXINTERNSHIP.ORG/
Organization’s email INFO@BLXINTERNSHIP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J01 - Alliance/Advocacy Organizations
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 CHLOE MOORE
Signature Title TREASURER, DIRECTOR
Signature Date 4/5/2021

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