FORM 1023-EZ for FAMILY KOMBIT ORGANIZATION

Field Data
EIN 61-1651476
Case Number EO-2017233-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY KOMBIT ORGANIZATION
Organization’s Mailing Address 3517 DUKE STREET
City COLLEGE PARK
State MD
ZIP 20740-2415
Accounting period End 12
Primary contact name STERNE NESTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STERNE NESTOR
PRESIDENT - BOARD CHAIR
3517 DUKE STREET
COLLEGE PARK MD 20740-2415

Officer/Director/Trustee Two

ALICE RIDORE
TREASURER
7002 22ND PLACE
HYATTSVILLE MD 20783

Officer/Director/Trustee Three

STEVEN PAYEN
SECRETARY
8856 TAMAR DRIVE - APT 202
COLUMBIA MD 21045

Officer/Director/Trustee Four

RODNEY KERBY
BOARD MEMBER
407 GILMOURE DRIVE
SILVER SPRING MD 20901

Officer/Director/Trustee Five

ROSETTE ST FIRMIN
BOARD MEMBER
2307 AMHERST ROAD
HYATTSVILLE MD 20783

Organization’s website N/A
Organization’s email SMNESTOR@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
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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