FORM 1023-EZ for MELQOSH MISSION INTERNATIONAL

Field Data
EIN 47-2306696
Case Number EO-2015183-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MELQOSH MISSION INTERNATIONAL
Organization’s Mailing Address 4811 WICOMICO AVE
City BELTSVILLE
State MD
ZIP 20705
Accounting period End 12
Primary contact name CYNTHIA ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FAITH OKRAFO-SMART
PRESIDENT
4811 WICOMICO AVENUE
BELTSVILLE MD 20705

Officer/Director/Trustee Two

ALPHINA DUMBUYA
VICE PRESIDENT
5426 85TH AVE T1
NEW CARROLLTON MD 20784

Officer/Director/Trustee Three

CYNTHIA ROSE
SECREATARY TREASURER
6150 SPRINGHILL TERRACE 304
GREENBELT MD 20770

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2014
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
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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