FORM 1023-EZ for MEDHANIALEM ETHIOPIAN ORTHODOX CHURCH

Field Data
EIN 82-3153351
Case Number EO-2017310-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDHANIALEM ETHIOPIAN ORTHODOX CHURCH
Organization’s Mailing Address 205 N MAIN ST
City CLAWSON
State MI
ZIP 48017
Accounting period End 12
Primary contact name CHERVELLE CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBACHEW NEGUSSIE
OFFICER
17155 MORRISON
SOUTHFIELD MI 48076

Officer/Director/Trustee Two

FANTAHUN GEBRE
SECRETARY
163 CHARLES LANE
PONTIAC MI 48341

Officer/Director/Trustee Three

SENAYIT AYALEW
TREASURER
115 CHIPPEWA
PONTIAC MI 48341

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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