FORM 1023-EZ for FOURAH BAY ACADEMY

Field Data
EIN 84-3737919
Case Number EO-2020007-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOURAH BAY ACADEMY
Organization’s Mailing Address 4910 CELTIC DRIVE APT 103
City ALEXANDRIA
State VA
ZIP 22310
Accounting period End 12
Primary contact name CAROL MIZOGUCHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONIQUE VICTOR
SECRETARY
2179 WALSINGHAM COURT
TRACY CA 95376

Officer/Director/Trustee Two

CAROL MIZOGUCHI
CEO
4910 CELTIC DRIVE APT 103
ALEXANDRIA VA 22310

Officer/Director/Trustee Three

OHENE FIREMPONG
PRESIDENT
3702 BLOCK DRIVE APT 236
IRWING TX 75038

Officer/Director/Trustee Four

ABIODUN AINA
TREASURER
3801 BROWNS POINT BLVD NE
TACOMA WA 98422

Officer/Director/Trustee Five

WILLIAM YENSU
VICE PRESIDENT
14001 HOWLETT LINE DRIVE
COLONIAL HEIGHTS VA 23834

Organization’s website
Organization’s email FOURAYBAY2@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2019
Organization Incorporation State VA
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: 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 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 CAROL MIZOGUCHI
Signature Title CEO
Signature Date 1/5/2020

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