FORM 1023-EZ for EBENEZER HUMAN SERVICES INC

Field Data
EIN 85-3175781
Case Number EO-2020287-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EBENEZER HUMAN SERVICES INC
Organization’s Mailing Address 272 BROADWAY NO 646
City METHUEN
State MA
ZIP 01844
Accounting period End 12
Primary contact name VICTORIA NAMUBIRU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTORIA NAMUBIRU
PRESIDENT
272 BROADWAY NO 646
METHUEN MA 01844

Officer/Director/Trustee Two

STEPHEN KAMYA
SECRETARY
272 BROADWAY NO 646
METHUEN MA 01844

Officer/Director/Trustee Three

SIMON PAUL KATAGADHO
TREASURER
272 BROADWAY NO 646
METHUEN MA 01844

Officer/Director/Trustee Four

VICTORIA NAMUBIRU
DIRECTOR BOARD MEMBER
272 BROADWAY NO 646
METHUEN MA 01844

Officer/Director/Trustee Five

STEPHEN KAMYA
DIRECTOR-BOARD MEMBER
272 BROADWAY NO 646
METHUEN MA 01844

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Donation of funds Yes
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 VICTORIA NAMUBIRU
Signature Title DIRECTOR BOARD MEMBER
Signature Date 10/8/2020

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