FORM 1023-EZ for NORTH WEST HERITAGE COMMUNITY OF CAMEROON INC

Field Data
EIN 47-4409138
Case Number EO-2015310-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH WEST HERITAGE COMMUNITY OF CAMEROON INC
Organization’s Mailing Address 4280 OLD WOOD DR SW
City CONYERS
State GA
ZIP 30094
Accounting period End 12
Primary contact name DANIEL TAYONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YUNGRI WIRSIY
PRESIDENT, DIRECTOR
4280 OLD WOOD DR SW
CONYERS GA 30094

Officer/Director/Trustee Two

DANIEL TAYONG
VICE PRESIDENT, DIRECTOR
4280 OLD WOOD DR SW
CONYERS GA 30094

Officer/Director/Trustee Three

VERONICA FOBI
SECRETARY, DIRECTOR
4280 OLD WOOD DR SW
CONYERS GA 30094

Officer/Director/Trustee Four

PAUL TUMA
TREASURER, DIRECTOR
4280 OLD WOOD DR SW
CONYERS GA 30094

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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

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