FORM 1023-EZ for AMOLO HOUSE

Field Data
EIN 81-3026109
Case Number EO-2020210-000879
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMOLO HOUSE
Organization’s Mailing Address 2211 UPTON AVENUE N
City MINNEAPOLIS
State MN
ZIP 55411-2314
Accounting period End 12
Primary contact name ASHA OUMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHA OUMA
FOUNDER PRESIDENT
2211 UPTON AVE N
MINNEAPOLIS MN 55411-2314

Officer/Director/Trustee Two

FREDRICK ABOGE
DIRECTOR
1580 DANA COURT NE
FRIDLEY MN 55432-5218

Officer/Director/Trustee Three

CHRISTINE OUMA
DIRECTOR
1580 DANA COURT NE
FRIDLEY MN 55432-5218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2012
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ASHA OUMA
Signature Title FOUNDER PRESIDENT
Signature Date 7/26/2020

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