FORM 1023-EZ for SOUTH WESTERN BURKINA ALLIANCE INC

Field Data
EIN 46-5728442
Case Number EO-2014336-000524
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH WESTERN BURKINA ALLIANCE INC
Organization’s Mailing Address 841 PARK PLACE
City BROOKLYN
State NY
ZIP 11216-4003
Accounting period End 12
Primary contact name PAUL ETIENNE DAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL DAH
PRESIDENT
909 SHERIDAN AVENUE 3-B
BRONX NY 10451

Officer/Director/Trustee Two

BRICE HIEN
SECRETARY
602 WEST 139 STREET 62
NEW YORK NY 10031

Officer/Director/Trustee Three

PANGUIRE MARIE BERTHE WILSON
TREASURER
841 PARK PLACE
BROOKLYN NY 11216-4003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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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