FORM 1023-EZ for BRILLIANT BLACK GIRLS INC

Field Data
EIN 82-2771139
Case Number EO-2017258-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRILLIANT BLACK GIRLS INC
Organization’s Mailing Address 1100 INDIAN TRAIL RD APT 1405
City NORCROSS
State GA
ZIP 30093-4563
Accounting period End 12
Primary contact name RAVEN COKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAVEN COKLEY
PRESIDENT
1100 INDIAN TRAIL RD APT 1405
NORCROSS GA 30093-4563

Officer/Director/Trustee Two

SHANIQUE LEE
SECRETARY
9404 PERIMETER STATION DR APT 221
CHARLOTTE NC 28216-4473

Officer/Director/Trustee Three

DOMINIQUE KEY
TREASURER
431 NW 17TH AVE
FT LAUDERDALE FL 33311-8733

Organization’s website
Organization’s email RAVENK90@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 Yes
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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