FORM 1023-EZ for NATIONAL BLACK MOVIE ASSOCIATION

Field Data
EIN 84-2288177
Case Number EO-2019191-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL BLACK MOVIE ASSOCIATION
Organization’s Mailing Address 4010 19TH STREET NE
City WASHINGTON
State DC
ZIP 20018-3250
Accounting period End 12
Primary contact name MARY MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AGNES MOSS
FOUNDER AND EXECUTIVE DIRECTOR
4010 19TH STREET NE
WASHINGTON DC 20018-3250

Officer/Director/Trustee Two

MARY MOSS
DIRECTOR OF OPERATIONS
4010 19TH STREET NE
WASHINGTON DC 20018-3250

Organization’s website BLACKMOVIEASSOCIATION.ORG
Organization’s email INFO@BLACKMOVIEASSOCIATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AGNES MOSS
Signature Title FOUNDER AND EXECUTIVE DIRECTOR
Signature Date 7/8/19

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