FORM 1023-EZ for AKWA IBOM STATE ASSOCIATION OF NIGERIA SAN FRANCISCO COMMUNITY CHAPTER

Field Data
EIN 82-1170918
Case Number EO-2017109-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AKWA IBOM STATE ASSOCIATION OF NIGERIA SAN FRANCISCO COMMUNITY CHAPTER
Organization’s Mailing Address 461 CANYON CREEK DRIVE
City AMERICAN CANYON
State CA
ZIP 94503
Accounting period End 12
Primary contact name KEVIN BASSEY ITA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN ITA
PRESIDENT
461 CANYON CREEK DRIVE
AMERICAN CANYON CA 94503

Officer/Director/Trustee Two

IDONGESIT UMANA
SECRETARY
2836 DANDELION CIRCLE
ANTIOCH CA 94531

Officer/Director/Trustee Three

MFON ETOK
TREASURER
5561 LEAN AVENUE
SAN JOSE CA 95123

Officer/Director/Trustee Four

INIOBONG UBOH
BOARD MEMBER
4209 SAINT CROIX CT
SAN JOSE CA 95118

Officer/Director/Trustee Five

ELIZABETH OTONG
BOARD MEMBER
968 BRANDON WAY
FAIRFIELD CA 94533

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 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 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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