FORM 1023-EZ for ADYA

Field Data
EIN 35-2350175
Case Number EO-2017184-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADYA
Organization’s Mailing Address 1831 8TH AVE APT 402
City SEATTLE
State WA
ZIP 98101
Accounting period End 12
Primary contact name AHMED AGYEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLAN ROBERTS
PRESIDENT
7787 NE PERSHING LN
HILLSBORO OR 97124

Officer/Director/Trustee Two

AHMED AGYEMAN
EXECUTIVE DIRECTOR
1831 8TH AVE APT402
SEATTLE WA 98101

Officer/Director/Trustee Three

HALDANE HENRY
DIRECTOR OF TECHNOLOGY
77 WEST 126TH ST APT 5D
NEW YORK NY 10027

Officer/Director/Trustee Four

LAMARANA DIALLO
DIRECTOR OF PROGRAM AND CURRICULUM
13725 56TH AVE S APT D210
TUKWILA WA 98168

Officer/Director/Trustee Five

FADUMAH AHMED
DIRECTOR OF STUDENT DEVELOPMENT
3602 S 180TH ST APT A48
SEATAC WA 98188

Organization’s website WWW.ADYAEFFECT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2009
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Conducting Activities Outside of United States No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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