FORM 1023-EZ for EZRA UGANDA ASSISTANCE

Field Data
EIN 81-1721571
Case Number EO-2016270-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EZRA UGANDA ASSISTANCE
Organization’s Mailing Address 11409 HOUNDS WAY
City ROCKVILLE
State MD
ZIP 20852
Accounting period End 12
Primary contact name LEILA BERNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE MORRIS
MEMBER, BOARD OF DIRECTORS
2654 SW FAIRMOUNT
PORTLAND OR 97239

Officer/Director/Trustee Two

RANDALL MILLER
MEMBER, BOARD OF DIRECTORS
340 GRIBBEL ROAD
WYNCOTE PA 19095

Officer/Director/Trustee Three

LEILA BERNER
PRESIDENT
11409 HOUNDS WAY
ROCKVILLE MD 20852

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2016
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 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
Signature Title
Signature Date

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