FORM 1023-EZ for CAPE PALMAS HIGH SCHOOL ALUMNI ASSOCIATION USA INC

Field Data
EIN 83-2368250
Case Number EO-2019169-000618
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPE PALMAS HIGH SCHOOL ALUMNI ASSOCIATION USA INC
Organization’s Mailing Address 905 TWIN PINES DRIVE
City MADISON
State WI
ZIP 53704
Accounting period End 12
Primary contact name HENRIETTA ACOLATSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR AUGUSTINE SENYON TATUS
PRESIDENT
905 TWIN PINES DRIVE
MADISON WI 53704

Officer/Director/Trustee Two

BARBARA FREEMAN
VICE PRESIDENT
3586 POWDER MILL RD
BELSTVILLE MD 20705

Officer/Director/Trustee Three

HOMA ALLISON
SECRETARY
905 TWIN PINES DRIVE
MADISON WI 53704

Officer/Director/Trustee Four

JANNIE BRIGHT
TREASURER
12831 BLACK SADDLE LANE
GERMANTOWN MD 20874

Officer/Director/Trustee Five

ANNA CONSTANCE BARLEE
FINANCIAL TREASURER
202 GLENDALE RD
UPPER DARBY PA 19082

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 DR AUGUSTINE SENYON TATUS
Signature Title PRESIDENT
Signature Date 6/16/19

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