FORM 1023-EZ for OASIS INTERNATIONAL CARE INITIATIVEINC

Field Data
EIN 87-2074060
Case Number EO-2021238-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OASIS INTERNATIONAL CARE INITIATIVEINC
Organization’s Mailing Address 2545 KOLB MANOR CIRCLE SW
City MARIETTA
State GA
ZIP 30008
Accounting period End 12
Primary contact name SHYLOCK SIPHO MAFU - DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHYLOCK MAFU
DIRECTOR
2545 KOLB MANOR CIRCLE SW
MARIETTA GA 30008

Officer/Director/Trustee Two

DOMINIC KIRUI
OFFICER
213 CHELSEA STREET
HENDERSONVILLE NC 28791

Officer/Director/Trustee Three

STANLEY SIBANDA
OFFICER
69 CLARENCE AVENUE
BUFFALO NY 14215

Organization’s website NOT APPLICABLE
Organization’s email SSMAFU65@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
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 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 SHYLOCK MAFU
Signature Title DIRECTOR
Signature Date 8/24/2021

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