FORM 1023-EZ for CAMEROONIAN AMERICAN MUTUAL

Field Data
EIN 83-2339196
Case Number EO-2018302-000492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMEROONIAN AMERICAN MUTUAL
Organization’s Mailing Address 52 WINTERGREEN DR
City QUAKER HILL
State CT
ZIP 6375-1438
Accounting period End 12
Primary contact name MATURIN LITA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATURIN LITA
PRESIDENT
52 WINTERGREEN DR
QUAKER HILL CT 6375-1438

Officer/Director/Trustee Two

JEAN-CLAUDE TATAP
VICE-PRESIDENT
9718 DAMASCUS
MANASSAS VA 20109-3242

Officer/Director/Trustee Three

THIMOTHE KONCHOU
TREAURER
2209 MONTAUK DR
CROFTON MD 21114-3245

Officer/Director/Trustee Four

SERGE ALAIN FEUZE LEKEM
CHIEF OF COMMITEE
10 MANOR AVE
BALTIMORE MD 21206-1020

Officer/Director/Trustee Five

SERGE KAMTA
FINANCIAL SECRETARY
87 WARNER STREET
GROTON CT 6340-5030

Organization’s website WWW.CAMUT.ORG
Organization’s email INFO@CAMUT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 MATURIN LITA
Signature Title PRESIDENT
Signature Date 10/26/18

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