FORM 1023-EZ for AKWA IBOM STATE ASSOCIATION - OREGON WASHINGTON CHAPTER

Field Data
EIN 81-2481392
Case Number EO-2016126-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AKWA IBOM STATE ASSOCIATION - OREGON WASHINGTON CHAPTER
Organization’s Mailing Address 3215 NE BROADWAY SUITE 210
City PORTLAND
State OR
ZIP 97232
Accounting period End 12
Primary contact name EMANUEL ETUKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EFIONG OKON
PRESIDENT
15703 SW BARRINGTON TER
TIGARD OR 97224

Officer/Director/Trustee Two

NSIMA NTEKPERE
TREASURER
4520 NE 113TH PL
PORTLAND OR 97220

Officer/Director/Trustee Three

EMANUEL ESUK
SECRETARY
727 SW 203 PL
ALOHA OR 97003

Officer/Director/Trustee Four

EMANUEL ETUKS
PROVOST
15305 SE NORTHSHORE DR
VANCOUVER WA 98683

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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