FORM 1023-EZ for MAAT DOMPIM

Field Data
EIN 54-1650700
Case Number EO-2017017-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAAT DOMPIM
Organization’s Mailing Address C/O BLANCHE M JACKSON
City APPOMATTOX
State VA
ZIP 24522
Accounting period End 12
Primary contact name BLANCHE M JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLANCHE JACKSON
PRESIDENT
C/O BLANCHE M JACKSON
APPOMATTOX VA 24522

Officer/Director/Trustee Two

VENETTE ANDREWS
TREASURER
POB 2530
APPOMATTOX VA 24522

Officer/Director/Trustee Three

PIYALI SUMMER
SECRETARY
83 ELM ST
SHELBURN FALLS MA 01370

Organization’s website
Organization’s email MAAT.DOMPIM@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/1992
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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