FORM 1023-EZ for ZAMBIA OTOLARYNGOLOGY OUTREACH MISSION

Field Data
EIN 84-1859299
Case Number EO-2019150-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZAMBIA OTOLARYNGOLOGY OUTREACH MISSION
Organization’s Mailing Address 43 OAK KNOLL ROAD
City MEREDITH
State NH
ZIP 3253
Accounting period End 12
Primary contact name CHANDLER MARIETTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANDLER MARIETTA
PRESIDENT / DIRECTOR
85 SPRING ST
LACONIA NH 3246

Officer/Director/Trustee Two

JASON MANGIARDI
TREASURER / DIRECTOR
85 SPRING ST
LACONIA NH 3246

Officer/Director/Trustee Three

PATRICK STEVENS
SECRETARY / DIRECTOR
85 SPRING ST
LACONIA NH 3246

Officer/Director/Trustee Four

NATHAN CHRISTENSEN
VICE PRESIDENT / DIRECTOR
2101 MONROE AVE
EUGENE OR 97405

Officer/Director/Trustee Five

OMAR SIDDIQI
DIRECTOR
12 GEORGIANA DRIVE
CUMBERLAND RI 2864

Organization’s website WWW.ENT-ZOOM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/19
Organization Incorporation State NH
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: 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 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 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 CHANDLER MARIETTA
Signature Title PRESIDENT / DIRECTOR
Signature Date 5/28/19

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