FORM 1023-EZ for ADEJA

Field Data
EIN 85-3790876
Case Number EO-2021153-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADEJA
Organization’s Mailing Address 59 WEALTH AVENUE
City PROVIDENCE
State RI
ZIP 02908
Accounting period End 4
Primary contact name RENES CHARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENES CHARLES
DIRECTOR
59 WEALTH AVENUE
PROVIDENCE RI 02908

Officer/Director/Trustee Two

VENETTE MILCETTE
DIRECTOR
52 HEALTH AVE
PROVIDENCE RI 02908

Officer/Director/Trustee Three

JACQUES LAURORE
DIRECTOR
52 HEALTH AVE
PROVIDENCE RI 02908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2020
Organization Incorporation State RI
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: 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 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 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 RENES CHARLES
Signature Title DIRECTOR
Signature Date 5/31/2021

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