FORM 1023-EZ for BLACK FATHERS ROCK

Field Data
EIN 83-0600789
Case Number EO-2018145-000550
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK FATHERS ROCK
Organization’s Mailing Address PO BOX 29739
City CHARLOTTE
State NC
ZIP 28229
Accounting period End 12
Primary contact name CHALIS HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN COLEMAN
PRESIDENT, CHAIRMAN OF BOARD
PO BOX 29739
CHARLOTTE NC 28229

Officer/Director/Trustee Two

CASHMERE COLEMAN
TREASURER
PO BOX 29739
CHARLOTTE NC 28229

Officer/Director/Trustee Three

JORDAN COLEMAN
SECRETARY
PO BOX 29739
CHARLOTTE NC 28229

Officer/Director/Trustee Four

ERIC MARSH
MEMBER
PO BOX 29739
CHARLOTTE NC 28229

Officer/Director/Trustee Five

TERRI BROOKS
MEMBER
PO BOX 29739
CHARLOTTE NC 28229

Organization’s website BLACKFATHERSROCK.ORG
Organization’s email BLKFATHERSROCK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 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 RYAN COLEMAN
Signature Title PRESIDENT, CHAIRMAN OF BOARD
Signature Date 5/23/18

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