FORM 1023-EZ for EMANDA SELF-HELP ASSOCIATION

Field Data
EIN 84-2743955
Case Number EO-2020114-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMANDA SELF-HELP ASSOCIATION
Organization’s Mailing Address 11726 CRITTON CIRCLE
City WOODBRIDGE
State VA
ZIP 22192
Accounting period End 12
Primary contact name ASSEFA ADELA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASSEFA ADELA
CHAIRMAN
11726
WOODBRIDGE VA 22192

Officer/Director/Trustee Two

YOHANES KERSEMA
SECRETARY
11328 WESTBROOK MILL LN UNIT 103
FAIRFAX VA 22030

Officer/Director/Trustee Three

AKALU SHIRAGA
TREASURE
3748 TONBRIDGE PL
WOODBRIDGE VA 22192

Officer/Director/Trustee Four

SHIBESHI DARGE
V. PRESIDENT
1401 FAIRMONT ST NW
WASHINGTON DC 20009

Officer/Director/Trustee Five

FEKADE ANDETA
TRUSTEE
1217 ELM GROVE CIRCLE
SILVER SPRING MD 20905

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y99 - Mutual/Membership Benefit Organizations, 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 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 ASSEFA ADELA
Signature Title CHAIRMAN
Signature Date 4/21/2020

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