FORM 1023-EZ for NORTH AMERICA EVANGELICAL MISSION SALA-SAMBILA

Field Data
EIN 85-1402603
Case Number EO-2020210-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH AMERICA EVANGELICAL MISSION SALA-SAMBILA
Organization’s Mailing Address 3745 CORNELL STREET
City DEARBORN
State MI
ZIP 48124-3233
Accounting period End 12
Primary contact name FIONNUALA HOLOWICKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PROSPER GONDO-MAHOUNGOU
PRESIDENT
3745 CORNELL ST
DEARBORN AA 48124-3233

Officer/Director/Trustee Two

BARTHELEMY NDINGA
VICE-PRESIDENT
3745 CORNELL ST
DEARBORN MI 48124-3233

Officer/Director/Trustee Three

ELLA RAISA MOUKO
TREASURER
425 TRUDDY ROAD
HARRISBURG PA 17109

Officer/Director/Trustee Four

MARIETTE MAKITA
CHAIR
247 CATERPILLAR DRIVE APT 1202
JOLIET IL 60435

Officer/Director/Trustee Five

ALAIN LOUZOLO
SECRETARY
3745 CORNELL ST
DEARBORN MI 48124-3233

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 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 PROSPER GONDO-MAHOUNGOU
Signature Title PRESIDENT
Signature Date 7/23/2020

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