FORM 1023-EZ for THE OFFICE OF AFFUEMBEY AND MALOA AFFUEMBEY INC

Field Data
EIN 84-2028254
Case Number EO-2019163-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE OFFICE OF AFFUEMBEY AND MALOA AFFUEMBEY INC
Organization’s Mailing Address 3050 FIVE FORKS TRICKUM RD STE D451
City LILBURN
State GA
ZIP 30047
Accounting period End 12
Primary contact name AFFUEMBEY AFFUEMBEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AFFUEMBEY AFFUEMBEY
INCORPORATOR
3050 FIVE FORKS TRICKUM RD STE D451
LILBURN GA 30047

Officer/Director/Trustee Two

MALOA AFFUEMBEY
INCORPORATOR
3050 FIVE FORKS TRICKUM RD STE D451
LILBURN GA 30047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AFFUEMBEY AFFUEMBEY
Signature Title INCORPORATOR
Signature Date 6/10/19

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