FORM 1023-EZ for BLACK CYBERSECURITY ASSOCIATION

Field Data
EIN 85-2514085
Case Number EO-2020234-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK CYBERSECURITY ASSOCIATION
Organization’s Mailing Address 60 O STREET NW
City WASHINGTON
State DC
ZIP 20001
Accounting period End 12
Primary contact name DAROLD KELLY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAROLD KELLY JR
PRESIDENT
60 O STREET NW
WASHINGTON DC 20001

Officer/Director/Trustee Two

YATIA HOPKINS
BOARD MEMBER
53 HICKORY STREET
CENTRAL ISLIP NY 11722

Officer/Director/Trustee Three

ERVIN ROBERSON
BOARD MEMBER
1800 NORTH OAK STREET
ARLINGTON VA 22209

Officer/Director/Trustee Four

FELISA SCOTT
BOARD MEMBER
1410 PATTERSONS MILL ROAD
DURHAM NC 27703

Officer/Director/Trustee Five

NATALIE MAGGITT
BOARD MEMBER
2534 TRANSOM PLACE
WOODBRIDGE VA 22191

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2020
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S03 - Professional Societies, Associations
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 DAROLD KELLY JR
Signature Title PRESIDENT
Signature Date 8/19/2020

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