FORM 1023-EZ for MINORITY BUSINESS DEVELOPMENT ASSOCIATION

Field Data
EIN 82-3492797
Case Number EO-2018141-000398
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINORITY BUSINESS DEVELOPMENT ASSOCIATION
Organization’s Mailing Address 3726-1B ADMIRAL DR
City HIGH POINT
State NC
ZIP 27265-1661
Accounting period End 12
Primary contact name ALICIA CALDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA CALDWELL
PRESIDENT
3726-1B ADMIRAL DRIVE
HIGH POINT NC 27265-1661

Officer/Director/Trustee Two

DEBORAH GOODMAN
VICE PRESIDENT
13113 MEADOWFIELD DR
ORLANDO FL 32824-6271

Officer/Director/Trustee Three

QUINZEL COMER
BOARD CHAIRMAN
5402 CREEK POINT CT
GREENSBORO NC 27407

Officer/Director/Trustee Four

KRISTINA ROBERSON
BOARD CO-CHAIRMAN
4018 BAYWATER PT
HIH POINT NC 27265

Officer/Director/Trustee Five

LAVONDA KENNEDY
SECRETARY
1216 KIMERY DR
HIGH POINT NC 27260-3624

Organization’s website WWW.MBDATRIAD.ORG
Organization’s email MBDATRIAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/17
Organization Incorporation State NC
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 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 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 ALICIA CALDWELL
Signature Title PRESIDENT
Signature Date 5/17/18

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