FORM 1023-EZ for BLACK MBA ASSOCIATION

Field Data
EIN 47-2696233
Case Number EO-2015008-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK MBA ASSOCIATION
Organization’s Mailing Address VAN MUNCHING HALL MOWATT LANE
City COLLEGE PARK
State MD
ZIP 20740
Accounting period End 12
Primary contact name SARINA ACCIME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARINA ACCIME
PRESIDENT
745 NEWTON PL NW
WASHINGTON DC 20010

Officer/Director/Trustee Two

TRISTAN WILLIAMS
EXEC. VP
10914 GEORGIA AVENUE
SILVER SPRING MD 20902

Officer/Director/Trustee Three

NATASHA SMITH
VP OF MARKETING
1717 EAST CAPITOL STREET SE APT 365
WASHINGTON DC 20003

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2002
Organization Incorporation State MD
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 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 No
Benefit of College Yes
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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