FORM 1023-EZ for ARABIA TEMPLE 12 AEAONMS FOUNDATION

Field Data
EIN 81-3625390
Case Number EO-2016300-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARABIA TEMPLE 12 AEAONMS FOUNDATION
Organization’s Mailing Address 731 QUEEN ST
City PORTSMOUTH
State VA
ZIP 23704
Accounting period End 12
Primary contact name HARVEY WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEROY MALCOLM
TREASUER
731 QUEEN ST
PORTSMOUTH VA 23704

Officer/Director/Trustee Two

DWYANE BROWN
OFFICER
731 QUEEN ST
PORTSMOUTH VA 23704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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
Signature Title
Signature Date

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