FORM 1023-EZ for US-AFRICA SYNERGY INC

Field Data
EIN 45-1584462
Case Number EO-2016235-000435
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name US-AFRICA SYNERGY INC
Organization’s Mailing Address 5801 WASHINGTON BLVD APT 114
City ARLINGTON
State VA
ZIP 22205
Accounting period End 12
Primary contact name PAULSON SIMEZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULSON SIMEZE
PRESIDENT
5801 WASHINGTON BLVD N APT 114
ARLINGTON VA 22205

Officer/Director/Trustee Two

EMELINE NATACHA GWET
VICE PRESIDENT
5801 WASHINGTON BLVD N APT 114
ARLINGTON VA 22205

Officer/Director/Trustee Three

TANYARADZWA FURUSA
VICE PRESIDENT
5801 WASHINGTON BLVD N APT 114
ARLINGTON VA 22205

Officer/Director/Trustee Four

BELCO BOCOUM
VICE PRESIDENT
5801 WASHINGTON BLVD N APT 114
ARLINGTON VA 22205

Officer/Director/Trustee Five

SARAH GLEDHILL
DIRECTOR
5801 WASHINGTON BLVD N APT 114
ARLINGTON VA 22205

Organization’s website
Organization’s email SIPA2122@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2011
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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