FORM 1023-EZ for BLACK DOLLAR FOUNDATION

Field Data
EIN 81-4016224
Case Number EO-2019246-000304
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK DOLLAR FOUNDATION
Organization’s Mailing Address 10250 NORMANDY BLVD STE 504
City JACKSONVILLE
State FL
ZIP 32221
Accounting period End 12
Primary contact name NYSHA BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALGEN ALBRITTEN III
PRESIDENT
4759 PLANTATION OAKS BLVD
ORANGE PARK FL 32065

Officer/Director/Trustee Two

LOVER THREATS
SECRETARY
4759 PLANTATION OAKS BLVD
ORANGE PARK FL 32065

Officer/Director/Trustee Three

NYISHA BELL
TREASURER
4759 PLANTATION OAKS BLVD
ORANGE PARK FL 32065

Organization’s website THEBLACKDOLLARFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/16
Organization Incorporation State FL
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 No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NYISHA BELL
Signature Title TREASURER
Signature Date 8/30/19
EIN 81-4016224
Case Number EO-2016278-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BLACK DOLLAR FOUNDATION INC
Organization’s Mailing Address 10250 NORMANDY BLVD STE 505
City JACKSONVILLE
State FL
ZIP 32221
Accounting period End 12
Primary contact name ALGEN ALBRITTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALGEN ALBRITTEN
PRESIDENT
10250 NORMANDY BLVD STE 505
JACKSONVILLE FL 32221

Officer/Director/Trustee Two

LOVER THREATS
SECRETARY
10250 NORMANDY BLVD STE 505
JACKSONVILLE FL 32221

Officer/Director/Trustee Three

TONI SETTLES
TREASURER
10250 NORMANDY BLVD STE 505
JACKSONVILLE FL 32221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2016
Organization Incorporation State FL
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 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
Signature Title
Signature Date

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