FORM 1023-EZ for POOH HAUT-NKAM CULTURAL ASSOCIATIONGEORGIA USA INC

Field Data
EIN 83-2444480
Case Number EO-2019169-000619
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POOH HAUT-NKAM CULTURAL ASSOCIATIONGEORGIA USA INC
Organization’s Mailing Address 935 AUGUSTA WOODS DRIVE
City DOUGLASVILLE
State GA
ZIP 30134
Accounting period End 12
Primary contact name THOMAS MOUAFI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MOUAFI
PRESIDENT
935 AUGUSTA WOODS DRIVE
DOUGLASVILLA GA 30134

Officer/Director/Trustee Two

CEDRIC NGAMENI
FINANCIAL SECRETARY
10800 MORTON CHASE WAY
ALPHARETTA GA 30022

Officer/Director/Trustee Three

IRENE TCHAMNA
SECRETARY
895 SARA HUNTER LANE NW
MILLEDGEVILLE GA 31061

Organization’s website
Organization’s email THOMASMOUAFI@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS MOUAFI
Signature Title PRESIDENT
Signature Date 6/16/19

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