FORM 1023-EZ for SOUTH SUDAN WOMENS OUTREACH INC

Field Data
EIN 84-3191112
Case Number EO-2020101-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SUDAN WOMENS OUTREACH INC
Organization’s Mailing Address 13842 ECHO PARK TERRACE
City BURNSVILLE
State MN
ZIP 55337
Accounting period End 12
Primary contact name KRISTI DAWES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YAR KANG
PRESIDENT
13842 ECHO PARK TERRACE
BURNSVILLE MN 55337

Officer/Director/Trustee Two

STEPHANIE LANKHORST
SECRETARY
11256 VESSEY AVENUE SOUTH
BLOOMINGTON MN 55437

Officer/Director/Trustee Three

JUSTICE SEIFERT
TREASURER
13842 ECHO PARK TERRACE
BURNSVILLE MN 55337

Officer/Director/Trustee Four

TOKRIEL MARTIN MANYIEL
BOARD MEMBER
1503 MONTE CARLO DRIVE
MANSFIELD TX 76063

Officer/Director/Trustee Five

ROSALIE ACHERMAN
BOARD MEMBER
2204 EAST 123RD STREET
BURNSVILLE MN 55337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2010
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 YAR KANG
Signature Title PRESIDENT
Signature Date 4/8/2020

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