FORM 1023-EZ for FOUNDATION FOR THE ASSOCIATION OF CAMEROONIAN NURSE PRATITIONERS IN US

Field Data
EIN 84-4056396
Case Number EO-2019360-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR THE ASSOCIATION OF CAMEROONIAN NURSE PRATITIONERS IN US
Organization’s Mailing Address 6626 WOODLAND TRACE CT
City LIBERTY TWP
State OH
ZIP 45044
Accounting period End 6
Primary contact name KATHLEEN M CLAYTON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC AFUSEH
PRESIDENT
1548 ALEXANDREA DRIVE APT 1B
LEXINGTON KY 40504

Officer/Director/Trustee Two

SHELIA MIKIAWA SPANGLER
TREASURER
3000 CORPORATE EXCHANGE DRIVE
COLUMBUS OH 43231

Officer/Director/Trustee Three

VIVIAN FENDE SONA
SECRETARY
4180 LAVALSE ST APT 1207
GRAND PRAIRIE TX 75052

Organization’s website N/A
Organization’s email ACANPUS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 ERIC AFUSEH
Signature Title PRESIDENT
Signature Date 12/23/2019

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