FORM 1023-EZ for AMASASE INC

Field Data
EIN 82-4015217
Case Number EO-2019098-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMASASE INC
Organization’s Mailing Address 34 WHITE DRIVE
City NEWARK
State DE
ZIP 19702
Accounting period End 12
Primary contact name ERASTUS MONGARE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PENNY ONGWENYI
PRESIDENT/CEO
595 FORT DRIVE
WESTHAMPTON NJ 8060

Officer/Director/Trustee Two

LORNA RATEMO
SECRETARY
7807 TANBARK LANE
ARLINGTON VA 76001

Officer/Director/Trustee Three

REBECCA CHEPNGENO BOCHABERI
TREASURER
7304 FOSSIL CREEK DRIVE
ARLINGTON VA 76002

Officer/Director/Trustee Four

EVELYN MAKORI
MEMBER
280 PARK PLACE
IRVINGTON NJ 7111

Officer/Director/Trustee Five

VERONICAH ONGWENYI
MEMBER
103 FREEDOM BLVD
WESTHAMPTON NJ 8060

Organization’s website WWW.AMASASE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/17
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 PENNY ONGWENYI
Signature Title PRESIDENT/CEO
Signature Date 4/5/19

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