FORM 1023-EZ for MADIBA HEALTH PROJECT

Field Data
EIN 47-3829126
Case Number EO-2016081-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADIBA HEALTH PROJECT
Organization’s Mailing Address 5366 CAMBRIA WAY
City WESTERVILLE
State OH
ZIP 43081
Accounting period End 12
Primary contact name OKECHUKWU ONYEKWERE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHUKWUEMEKA ANIAGOLU
PRESIDENT
5772 HIGH ROCK DRIVE
WESTERVILLE OH 43081

Officer/Director/Trustee Two

AMBER STEPHENS
TREASURER
7501 HICKMAN STREET
CINCINNATI OH 45231

Officer/Director/Trustee Three

JOHN ENEH
SECRETARY
3087 JETSTREAM DRIVE
COLUMBUS OH 43231

Officer/Director/Trustee Four

OKECHUKWU ONYEKWERE
DIRECTOR
1737 CORONET DRIVE
COLUMBUS OH 43224

Officer/Director/Trustee Five

SUMIT SHARMA
DIRECTOR
3781 SOUTH HIGH STREET
COLUMBUS OH 43207

Organization’s website
Organization’s email INFO@MADIBAHP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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
Signature Title
Signature Date

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