FORM 1023-EZ for REHABILITATE CHILDREN AND YOUTH ETHIOPIA INC

Field Data
EIN 83-4626458
Case Number EO-2021200-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REHABILITATE CHILDREN AND YOUTH ETHIOPIA INC
Organization’s Mailing Address 6980 LAFAYETTE PARK DRIVE
City JACKSONVILLE
State FL
ZIP 32244-7812
Accounting period End 12
Primary contact name ALTAYE ALAMBO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HUDNALL
OFFICER
16281 BAKER LANE NORTH
JACKSONVILLE FL 32226

Officer/Director/Trustee Two

NATHAN RAREY
OFFICER
1351 RUNNING BROOK CT
JACKSONVILLE FL 32225

Officer/Director/Trustee Three

ANGELA MORT
OFFICER
10135 GATE PARKWAY N
JACKSONVILLE FL 32246

Officer/Director/Trustee Four

TRACY FRANK
OFFICER
3733 GURLEY ROAD
JACKSONVILLE FL 32277

Officer/Director/Trustee Five

ALTAYE ALAMBO
OFFICER
6980 LAFAYETTE PARK DRIVE
JACKSONVILLE FL 32244

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALTAYE ALAMBO
Signature Title OFFICER
Signature Date 7/15/2021
EIN 83-4626458
Case Number EO-2021200-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REHABILITATE CHILDREN AND YOUTH ETHIOPIA INC
Organization’s Mailing Address 6980 LAFAYETTE PARK DRIVE
City JACKSONVILLE
State FL
ZIP 32244-7812
Accounting period End 12
Primary contact name ALTAYE ALAMBO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HUDNALL
OFFICER
16281 BAKER LANE NORTH
JACKSONVILLE FL 32226

Officer/Director/Trustee Two

NATHAN RAREY
OFFICER
1351 RUNNING BROOK CT
JACKSONVILLE FL 32225

Officer/Director/Trustee Three

ANGELA MORT
OFFICER
10135 GATE PARKWAY N
JACKSONVILLE FL 32246

Officer/Director/Trustee Four

TRACY FRANK
OFFICER
3733 GURLEY ROAD
JACKSONVILLE FL 32277

Officer/Director/Trustee Five

ALTAYE ALAMBO
OFFICER
6980 LAFAYETTE PARK DRIVE
JACKSONVILLE FL 32244

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALTAYE ALAMBO
Signature Title OFFICER
Signature Date 7/15/2021

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