FORM 1023-EZ for AFRICANS IN MEDICINE

Field Data
EIN 46-1021478
Case Number EO-2015264-000502
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AFRICANS IN MEDICINE
Organization’s Mailing Address 1050 MEDOC STREET
City BOURBONNAIS
State IL
ZIP 60914
Accounting period End 12
Primary contact name OBI EKWENNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

OBI EKWENNA
CHAIRMAN/BOARD OF DIRECTORS
1050 MEDOC STREET
BOURBONNAIS IL 60914

Officer/Director/Trustee Two

NICOLE COOPER
EXECUTIVE DIRECTOR
12607 WOODMORE N BLVD
BOWIE MD 20720

Officer/Director/Trustee Three

GEORGE OZOUDE
DIRECTOR
145 HEIGHTS BLVD
HOUSTON TX 77007

Organization’s website WWW.AFRICANSINMEDICINE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2012
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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