FORM 1023-EZ for THE NATIONAL ASSOCIATION OF BLACK ENROLLED AGENTS

Field Data
EIN 47-2389840
Case Number EO-2014342-000462
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE NATIONAL ASSOCIATION OF BLACK ENROLLED AGENTS
Organization’s Mailing Address 731 HAMMONDVILLE ROAD SUITE A
City POMPANO BEACH
State FL
ZIP 33060
Accounting period End 12
Primary contact name JASON H DAUGHTRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON DAUGHTRY
PRESIDENT
209 PHEASANT RUN RD
MAYS LANDING NJ 08330

Officer/Director/Trustee Two

ALEX LOUIS
VICE PRESIDENT
1230 PERI ST
OPA LOCKA FL 33054

Officer/Director/Trustee Three

RACHEL LUCAS
TREASURER
1560 NW 17 AVE APT 6
POMPANO BEACH FL 33069

Officer/Director/Trustee Four

KENNETH WATERS
SECRETARY
1800 SYLVIA CT
WILSON NC 27893

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2014
Organization Incorporation State FL
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 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
Signature Title
Signature Date

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