FORM 1023-EZ for BLACK MAN LAB FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 84-4788993 |
| Case Number | EO-2020233-000447 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK MAN LAB FOUNDATION INC |
| Organization’s Mailing Address | 4153C FLAT SHOALS PARKWAY SUITE 332 |
| City | DECATUR |
| State | GA |
| ZIP | 30034 |
| Accounting period End | 12 |
| Primary contact name | MAURICE THOMPSON II |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MAWULI DAVIS
CEO
4153C FLAT SHOALS PARKWAY SUITE 332
DECATUR GA 30034
Officer/Director/Trustee Two
MARTIN MONEGAIN
VICE PRESIDENT
968 EMORY PARC WAY
DECATUR GA 30033
Officer/Director/Trustee Three
FREDERICK PARHAM
SECRETARY
2265 LAKE ROYALE DR
RIVERDALE GA 30296
Officer/Director/Trustee Four
MAURICE THOMPSON II
CFO
4002 HWY 78 W SUITE 530-137
SNELLVILLE GA 30039
| Organization’s website | WWW.BLACKMANLAB.ORG |
|---|---|
| Organization’s email | INFO@BLACKMANLAB.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/3/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S82 - Men's Service Clubs |
| 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 | 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 | MAURICE THOMPSON II |
| Signature Title | CFO |
| Signature Date | 8/18/2020 |
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