FORM 1023-EZ for AMANI ORPHANAGE

Field Data
EIN 36-4806201
Case Number EO-2015187-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMANI ORPHANAGE
Organization’s Mailing Address 35 MARLIN ROAD
City CENTEREACH
State NY
ZIP 11720
Accounting period End 2
Primary contact name KATHARINE THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHARINE THOMPSON
EXECUTIVE DIRECTOR
35 MARLIN ROAD
CENTEREACH NY 11720

Officer/Director/Trustee Two

KAREN HELSEL
TREASURER
4742 BURNT HOUSE HILL ROAD
DANBORO PA 18916

Officer/Director/Trustee Three

ANDREW ZAMORA
SECRETARY
21 WALNUT AVENUE
STONY BROOK NY 11794

Officer/Director/Trustee Four

EMILY ZINK
BOARD MEMBER
4406 PACIFIC STREET
FARMINGTON NM 87401

Officer/Director/Trustee Five

KALYN CHACHON
BOARD MEMBER
6013 NE MILTON STREET
PORTLAND OR 97213

Organization’s website WWW.CHILDRENOFAMANI.ORG
Organization’s email KATE.ET.THOMPSON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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 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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