FORM 1023-EZ for NORTHWEST FLORIDA BLACK BUSINESS CHAMBER

Field Data
EIN 82-2702376
Case Number EO-2018094-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST FLORIDA BLACK BUSINESS CHAMBER
Organization’s Mailing Address 815 MAPLE AVE
City PANAMA
State FL
ZIP 32401
Accounting period End 12
Primary contact name TERRY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY WILLIAMS
PRESIDENT/CEO
1005 MCKENZIE AV
PANAMA FL 32401

Officer/Director/Trustee Two

VONDA GAINER
VICE PRESIDENT
5614 MERRITT BROWN RD
PANAMA FL 32405

Officer/Director/Trustee Three

KIARA JONES
SECRETARY
102 DAMON CIRICLE
PANAMA CITY BEACH FL 32407

Officer/Director/Trustee Four

JOB GAMMONS
TREASURER
653 WEST 23RD SUITE 307
PANAMA FL 32405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S43 - Management Services for Small Business, Entrepreneurs
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 TERRY WILLIAMS
Signature Title PRESIDENT/CEO
Signature Date 4/2/18

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