FORM 1023-EZ for AFRICAN HEALTH EDUCATION AND DEVELOPMENT INC

Field Data
EIN 85-2535258
Case Number EO-2020317-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AFRICAN HEALTH EDUCATION AND DEVELOPMENT INC
Organization’s Mailing Address 720 HARRIS WALK LN
City ROSWELL
State GA
ZIP 30076
Accounting period End 12
Primary contact name MOUHMOUD KOUNKOUROU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOUHMOUD KOUNKOUROU
OFFICER
720 HARRIS WALK LN
ROSWELL GA 30076

Officer/Director/Trustee Two

SULAYMAN MBENGA
OFFICER
9299 GEE GEE DR
OLIVE BRANCH MS 38654

Officer/Director/Trustee Three

ABOUBACAR AMADOU IDE
OFFICER
8071 IRENE BLVD APT 206
MEMPHIS TN 38125

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 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 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 MOUHMOUD KOUNKOUROU
Signature Title OFFICER
Signature Date 11/9/2020

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