FORM 1023-EZ for BLACK CHINA CAUCUS ASSOCIATION

Field Data
EIN 87-2318372
Case Number EO-2021245-000360
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK CHINA CAUCUS ASSOCIATION
Organization’s Mailing Address 1209 ORANGE STREET
City WILMINGTON
State DE
ZIP 19801
Accounting period End 12
Primary contact name SCOTT RABINOWITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEISHA BROWN
CO-PRESIDENT & DIRECTOR
510 OLD HICKORY BLVD APT 217
NASHVILLE TN 37209

Officer/Director/Trustee Two

AVONDA FOGAN
EVP SECRETARY & DIRECTOR
1801 FORT DAVIS STREET SE
WASHINGTON DC 20020

Officer/Director/Trustee Three

UBONG MARK AKPANINYIE
CO-PRESIDENT & DIRECTOR
1104 7TH STREET NE
WASHINGTON DC 20002

Officer/Director/Trustee Four

MYCAL FORD
TREASURER & DIRECTOR
1801 FORT DAVIS STREET SE
WASHINGTON DC 20020

Organization’s website BLACKCHINACAUCUS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2021
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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 AVONDA FOGAN
Signature Title EVP SECRETARY & DIRECTOR
Signature Date 8/31/2021

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