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10 0 BLACK MEN OF AMERICA, INC. 141 Auburn Ave. Atlanta, GA 30303 Phone: 4046885100 Fax: 4046881028 www.100blackmen.org2019 MENTEE OF THE YEAR APPLICATION CHAPTER AND PROGRAM AFFILIATION Fill in the
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100 Black Men of America is a national organization committed to improving the quality of life within African American communities.
Individuals or organizations that are members or affiliates of 100 Black Men of America are required to file.
The form can be filled out online or submitted physically to the designated office of 100 Black Men of America.
The purpose of 100 Black Men of America is to mentor young people, support community initiatives, and advocate for social and economic equality.
Information such as financial statements, membership data, and community service activities must be reported on 100 Black Men of America.
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