FORM 1023-EZ for SHAM KEREN TSADA

Field Data
EIN 84-3683578
Case Number EO-2020183-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAM KEREN TSADA
Organization’s Mailing Address 2954 LEYLAND PLACE
City WOODBURY
State MN
ZIP 55125-3574
Accounting period End 12
Primary contact name AMANUEL TEKLEMARIAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANUEL TEKLEMARIAM
PRESIDENT
2954 LEYLAND PLACE
WOODBURY MN 55125

Officer/Director/Trustee Two

YOSIEF ANDOM
VICE-PRESIDENT
6500 SANDS POINT DRIVE APT 312
HOUSTON TX 77074

Officer/Director/Trustee Three

SEMIRA OSMAN
FINANCIAL ADMINISTRATOR
2528 NW 4TH STREET
LINCOLN NE 68521

Officer/Director/Trustee Four

THOMAS NEGASSI ARAIA
SECRETARY
5137 N LOVERS LANE RD APT 13
MILWAUKEE WI 53225

Officer/Director/Trustee Five

NIEMA OSMAN
AUDITOR
6610 VINE STREET
LINCON NE 68505

Organization’s website
Organization’s email AMANUEL_TEKLEMARIAM@YAHOO.COM KURMASEGEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2019
Organization Incorporation State MN
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date 6/29/2020

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