FORM 1023-EZ for AZ MINORITY BUSINESS ALLIANCE

Field Data
EIN 47-5406157
Case Number EO-2016319-000534
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AZ MINORITY BUSINESS ALLIANCE
Organization’s Mailing Address 2401 W SOUTHERN AVE LOT 30
City TEMPE
State AZ
ZIP 85282
Accounting period End 9
Primary contact name MONIQUE BAGLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONIQUE BAGLEY
DIRECTOR
2401 W SOUTHERN AVE
TEMPE AZ 85282

Officer/Director/Trustee Two

SIERRA BAGLEY
OFFICER
930 TERRACE MALL
TEMPE AZ 85282

Officer/Director/Trustee Three

LIONEL EVANS
OFFICER
6630 W CACTUS RD B105
GLENDALE AZ 85304

Organization’s website WWW.AZMBA1.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2015
Organization Incorporation State AZ
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: 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 Yes
One Third Support Gifts No
Benefit of College No
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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