FORM 1023-EZ for BLACK AND COLLEGE BOUND SCHOLARS

Field Data
EIN 46-4650124
Case Number EO-2021260-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK AND COLLEGE BOUND SCHOLARS
Organization’s Mailing Address 3502 EAGLE RISE
City LITHONIA
State GA
ZIP 30038
Accounting period End 12
Primary contact name DEANA ERVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANA ERVIN
CVO
3502 EAGLE RISE
LITHONIA GA 30038-3531

Organization’s website WWW.BLACKANDCOLLEGEBOUND.ORG
Organization’s email BLACKANDCOLLEGEBOUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Correctness Declaration No
Signature Name DEANA ERVIN
Signature Title CVO
Signature Date 9/15/2021
EIN 46-4650124
Case Number EO-2015062-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK AND COLLEGE BOUND SCHOLARS
Organization’s Mailing Address 2815 FOREST AVE
City KC
State MO
ZIP 64109-1227
Accounting period End 7
Primary contact name DEANA HOLCOMB ERVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEANA HOLCOMB ERVIN
CEO
2815 Forest Ave
KC MO 64109

Officer/Director/Trustee Two

KEEYON JOHNSON
BOARD MEMBER
1517 SW 42 COURT
LEES SUMMIT MO 64082

Officer/Director/Trustee Three

ROBIN BECK
BOARD MEMBER
5315 N WASHINGTON ST
KANSAS CITY MO 64118

Officer/Director/Trustee Four

LATRINA COLLINS
BOARD MEMBER
11114 GRAND AVENUE
KANSAS CITY MO 64114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
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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