FORM 1023-EZ for POLY ALUMNI NETWORK
| Field | Data |
|---|---|
| EIN | 86-3269396 |
| Case Number | EO-2021179-000440 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | POLY ALUMNI NETWORK |
| Organization’s Mailing Address | 8625 WEBSTER TAVERN WAY |
| City | MANASSAS |
| State | VA |
| ZIP | 20109 |
| Accounting period End | 12 |
| Primary contact name | BEKALU MOLLA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MELAK ZEBENAY
DIRECTOR
12801 TOURMALINE CT
SILVER SPRING MD 20904
Officer/Director/Trustee Two
BEKALU MOLLA
VICE PRESIDENT
8625 WEBSTER TAVERN WAY
MANASSAS VA 20109
Officer/Director/Trustee Three
NEJA SIRUR
DIRECTOR
4424 ARBOR WOOD COURT
BURTONSVILLE VA 20866
Officer/Director/Trustee Four
ZERIHUN AWASH
DIRECTOR
12304 GALWAY DR
SILVER SPRING MD 20904
Officer/Director/Trustee Five
ERMIAS KORICHO
DIRECTOR
552 E MAIN STREET UNIT 321
STATESBORO GA 30461
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/14/2021 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | U99 - Science and Technology Research Institutes, Services N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: Yes 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 | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BEKALU MOLLA |
| Signature Title | VICE PRESIDENT |
| Signature Date | 6/24/2021 |
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