FORM 1023-EZ for AMIS

Field Data
EIN 82-4177575
Case Number EO-2018183-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMIS
Organization’s Mailing Address 9122 GLENVILLE RD
City SILVER SPRING
State MD
ZIP 20901
Accounting period End 12
Primary contact name DIMITRI TCHIENGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIMITRI TCHIENGA SAGWO
MR
9122 GLENVILLE RD
SILVER SPRING MD 20901

Officer/Director/Trustee Two

NAOMI MANIDAM NOUBOSSIE
MS
3522 LADOVA WAY
SPRINDALE MD 20774

Officer/Director/Trustee Three

DIMITRI LEONEL NGANMINI NZEKOUE
MR
8808 STERLING ST
HYATSSVILLE MD 20785

Officer/Director/Trustee Four

ARMAND STYVE YONKEU
MR
14015 CASTLE BOULEVARD
SILVER SPRING MD 20904

Officer/Director/Trustee Five

CYRIELLE TCHAYA
MS
3522 LADOVA WAY
SPRINDALE MD 20774

Organization’s website WWW.AMIS237.ORG
Organization’s email AMIS@AMIS237.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 DIMITRI TCHIENGA SAGWO
Signature Title MR
Signature Date 6/29/18

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