FORM 1023-EZ for MINORITY BUSINESS LISTING INC

Field Data
EIN 84-3824177
Case Number EO-2020127-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINORITY BUSINESS LISTING INC
Organization’s Mailing Address 1315 SE 11TH AVE
City GAINESVILLE
State FL
ZIP 32641
Accounting period End 12
Primary contact name WAYNE FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE FIELDS
PRESIDENT
1315 SE 11TH AVE
GAINESVILLE FL 32641

Officer/Director/Trustee Two

TRESSA EDWARDS
DIRECTOR
13218 SW ARCHER RD
ARCHER FL 32618

Officer/Director/Trustee Three

BERNARD COHEN
DIRECTOR
1620 BOBTAIL DR
MAITLAND FL 32751

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 WAYNE FIELDS
Signature Title PRESIDENT
Signature Date 5/4/2020

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