FORM 1023-EZ for BLACK AFRICAN INFRASTRUCTURE ORGANIZATION

Field Data
EIN 83-4112466
Case Number EO-2019086-000615
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK AFRICAN INFRASTRUCTURE ORGANIZATION
Organization’s Mailing Address 123A HIGHWAY 80 EAST SUITE 279
City CLINTON
State MS
ZIP 39056
Accounting period End 4
Primary contact name BRADLEY BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY BAILEY
CHIEF/ DIRECTOR
606 CHURCH ST
CLINTON MS 39056

Officer/Director/Trustee Two

PATRICK CHAMBLISS
DEPUTY CHIEF/ DIRECTOR
3 CLASON POINT LANE SOUTH APT B
BRONX NY 10473

Officer/Director/Trustee Three

JAMES BURNS
TREASURER/ DIRECTOR
9655 PERKINS RD STE C 121
BATON ROUGE LA 70810

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 BRADLEY BAILEY
Signature Title CHIEF/ DIRECTOR
Signature Date 3/25/19

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