FORM 1023-EZ for YETEWLED ADERA FAMILY MINISTRY INC

Field Data
EIN 83-3191909
Case Number EO-2019105-000639
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YETEWLED ADERA FAMILY MINISTRY INC
Organization’s Mailing Address 9620 HILLOCK CT
City BURKE
State VA
ZIP 22015-3115
Accounting period End 12
Primary contact name TSEHAI AMDEBRHAEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEMLEM YEHUALASHET
PRESIDENT
9620 HILLOCK CT
BURKE VA 22015-3115

Officer/Director/Trustee Two

TSEHAI AMDEBRHAEN
CHIEF FINANCIAL OFFICER
9620 HILLOCK CT
BURKE VA 22015-3115

Officer/Director/Trustee Three

KIFLE GEBREYESUS
CHAIR PERSON
9620 HILLOCK CT
BURKE VA 22015-3115

Officer/Director/Trustee Four

ZELEKA BEKELE
DIRECTOR
9620 HILLOCK CT
BURKE VA 22015-3115

Officer/Director/Trustee Five

WORKU LEGESSE
DIRECTOR
9620 HILLOCK CT
BURKE VA 22015-3115

Organization’s website YETEWLEDADERA.ORG
Organization’s email YETEWLED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 LEMLEM YEHUALASHET
Signature Title PRESIDENT
Signature Date 4/13/19

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