FORM 1023-EZ for KANSAS CITY CHAPTER OF THE NATIONALBLACK MBA ASSOCIATION INC

Field Data
EIN 74-2635356
Case Number EO-2015251-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KANSAS CITY CHAPTER OF THE NATIONALBLACK MBA ASSOCIATION INC
Organization’s Mailing Address P O BOX 414661
City KANSAS CITY
State MO
ZIP 64141
Accounting period End 12
Primary contact name MOZELLA DYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOZELLA DYER
PRESIDENT
405 N 7TH ST
KANSAS CITY KS 66101

Officer/Director/Trustee Two

KRISTI GAYLORD LACY
VICE PRESIDENT ADMINISTRATION
8216 E 135TH ST
GRANDVIEW MO 64030

Officer/Director/Trustee Three

LORI WATSON
VICE PRESIDENT OPERATIONS
10323 N MAIN STREET
KANSAS CITY MO 64155

Officer/Director/Trustee Four

PORTIA KIBBLE SMITH
VICE PRESIDENT MARKETING
11936 W 119TH ST
OVERLAND PARK KS 66213

Organization’s website WWW.KCBLACKMBA.COM
Organization’s email CONTACT@KCBLACKMBA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/1996
Organization Incorporation State MO
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: 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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