FORM 1023-EZ for UNITED NIMBA CITIZENS COUNCIL-UNICCO

Field Data
EIN 84-4101755
Case Number EO-2020006-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED NIMBA CITIZENS COUNCIL-UNICCO
Organization’s Mailing Address 815 34TH AVE EAST APT 213
City WEST FARGO
State ND
ZIP 58078
Accounting period End 12
Primary contact name MELVIN NYA PAYEKAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELVIN PAYEKAR
CHAIRMAN
815 34TH AVE EAST APT 213
WEST FARGO ND 58078

Officer/Director/Trustee Two

SHADRACH FEAHN
SECRETARY
530 6TH STREET APT 7
WEST FARGO ND 58078

Officer/Director/Trustee Three

SAM PARWON
BOARD CHAIRMAN
834 37TH AVE SOUTH
MOORHEAD MN 56560

Officer/Director/Trustee Four

YEI GARTEI
VICE CHAIRMAN
639 33 AVE WEST APT 212
WEST FARGO ND 58078

Officer/Director/Trustee Five

LORETHA GRAHN
TREASURER
3885 30TH AVE S APT 112
SOUTH FARGO ND 58104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2019
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 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 MELVIN PAYEKAR
Signature Title CHAIRMAN
Signature Date 1/2/2020

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