FORM 1023-EZ for AFLAO ASSOCIATION OF NORTH AMERICAINC

Field Data
EIN 84-3469691
Case Number EO-2019303-000452
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AFLAO ASSOCIATION OF NORTH AMERICAINC
Organization’s Mailing Address 16907 TOM RIVER LOOP
City DUMFRIES
State VA
ZIP 22026
Accounting period End 12
Primary contact name KOKOU PETER HENYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

INNOCENT KUMAZAH
DIRECTOR
6506 AMERICA BLVD
HYATSVILLE MD 20782

Officer/Director/Trustee Two

KOKOU HENYO
DIRECTOR
16907 TOM RIVER LOOP
DUMFRIES VA 22026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 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 KOKOU HENYO
Signature Title DIRECTOR
Signature Date 10/28/19
EIN 84-3469691
Case Number EO-2019303-000452
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AFLAO ASSOCIATION OF NORTH AMERICA INC
Organization’s Mailing Address 16907 TOM RIVER LOOP
City DUMFRIES
State VA
ZIP 22026
Accounting period End 12
Primary contact name KOKOU PETER HENYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

INNOCENT KUMAZAH
DIRECTOR
6506 AMERICA BLVD
HYATSVILLE MD 20782

Officer/Director/Trustee Two

KOKOU HENYO
DIRECTOR
16907 TOM RIVER LOOP
DUMFRIES VA 22026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 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 KOKOU HENYO
Signature Title DIRECTOR
Signature Date 10/28/19

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